Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.39 / $23.39 / $129.62	Facility	26	$23.39	$23.39	$129.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $90.81 / $119.88	Professional		$71.77	$90.81	$119.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $65.27 / $90.23	Professional	TC	$47.56	$65.27	$90.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	26	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $118.87 / $206.46	Professional		$72.87	$118.87	$206.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.16 / $84.22 / $155.97	Professional	TC	$49.16	$84.22	$155.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $122.29 / $166.80	Professional		$102.94	$122.29	$166.80
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $86.14 / $117.32	Professional	TC	$71.73	$86.14	$117.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $95.54 / $143.28	Professional		$81.20	$95.54	$143.28
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.45 / $68.19 / $111.15	Professional	TC	$56.45	$68.19	$111.15
United Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $109.18 / $177.16	Professional		$65.50	$109.18	$177.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.71 / $78.55 / $128.53	Professional	TC	$46.71	$78.55	$128.53