Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $94.97 / $123.10	Professional		$64.92	$94.97	$123.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $17.30 / $22.65	Professional	26	$14.57	$17.30	$22.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $77.22 / $99.29	Professional	TC	$50.35	$77.22	$99.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $100.51 / $164.56	Professional		$65.56	$100.51	$164.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $23.29 / $38.93	Professional	26	$14.00	$23.29	$38.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.08 / $79.62 / $137.47	Professional	TC	$45.08	$79.62	$137.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $142.36 / $209.10	Professional		$89.11	$142.36	$209.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $24.76 / $33.89	Professional	26	$21.21	$24.76	$33.89
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $107.49 / $129.31 / $175.23	Professional	TC	$107.49	$129.31	$175.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $107.31 / $154.43	Professional		$91.21	$107.31	$154.43
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $17.80 / $61.39	Professional	26	$15.13	$17.80	$61.39
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.08 / $89.51 / $129.44	Professional	TC	$76.08	$89.51	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $110.43 / $203.80	Professional		$58.30	$110.43	$203.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $21.44 / $34.82	Professional	26	$13.92	$21.44	$34.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.29 / $90.94 / $164.61	Professional	TC	$48.29	$90.94	$164.61