Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.00 / $20.00 / $98.80	Facility	26	$20.00	$20.00	$98.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $117.01 / $154.63	Professional		$88.55	$117.01	$154.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $95.05 / $123.51	Professional	TC	$73.16	$95.05	$123.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.99 / $15.99 / $15.99	Facility	26	$15.99	$15.99	$15.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $138.94 / $228.74	Professional		$95.95	$138.94	$228.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.23 / $106.32 / $179.84	Professional	TC	$72.23	$106.32	$179.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $180.43 / $265.06	Professional		$134.28	$180.43	$265.06
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $137.06 / $164.80 / $223.64	Professional	TC	$137.06	$164.80	$223.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $133.47 / $201.01	Professional		$109.09	$133.47	$201.01
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.98 / $106.11 / $163.69	Professional	TC	$89.98	$106.11	$163.69
United Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $132.77 / $234.96	Professional		$89.05	$132.77	$234.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.94 / $109.51 / $196.49	Professional	TC	$74.94	$109.51	$196.49