Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.83 / $8.35 / $34.40	Facility	26	$6.83	$8.35	$34.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $64.03 / $90.66	Professional		$35.77	$64.03	$90.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $10.81 / $20.30	Professional	26	$6.84	$10.81	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $48.42 / $85.12	Professional	TC	$22.64	$48.42	$85.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.09 / $22.00	Professional	26	$11.82	$12.09	$22.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.51 / $5.51 / $5.51	Facility	26	$5.51	$5.51	$5.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $69.45 / $133.34	Professional		$35.79	$69.45	$133.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $11.88 / $21.88	Professional	26	$7.97	$11.88	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $56.19 / $107.99	Professional	TC	$23.22	$56.19	$107.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $59.59 / $90.94	Professional		$50.36	$59.59	$90.94
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $19.85 / $27.80	Professional	26	$17.23	$19.85	$27.80
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $39.75 / $54.19	Professional	TC	$33.11	$39.75	$54.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $40.75 / $80.29	Professional		$26.25	$40.75	$80.29
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $14.50 / $25.59	Professional	26	$12.33	$14.50	$25.59
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.31 / $27.57 / $82.91	Professional	TC	$22.31	$27.57	$82.91
United Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $51.59 / $102.12	Professional		$32.95	$51.59	$102.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $15.84 / $28.16	Professional	26	$7.96	$15.84	$28.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $33.86 / $75.65	Professional	TC	$21.76	$33.86	$75.65