Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $11.50 / $40.11	Facility	26	$8.61	$11.50	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $53.40 / $142.54	Professional		$22.26	$53.40	$142.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $9.86 / $32.67	Professional	26	$8.61	$9.86	$32.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $28.32 / $109.79	Professional	TC	$13.02	$28.32	$109.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $16.72 / $19.30	Professional		$15.45	$16.72	$19.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $8.39 / $17.38	Professional	26	$7.00	$8.39	$17.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $27.00 / $55.88	Professional		$16.80	$27.00	$55.88
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $18.30 / $25.15	Professional	26	$11.11	$18.30	$25.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.02 / $7.02 / $7.02	Facility	26	$7.02	$7.02	$7.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $47.70 / $166.27	Professional		$19.39	$47.70	$166.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $11.97 / $19.78	Professional	26	$6.68	$11.97	$19.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.11 / $32.79 / $143.58	Professional	TC	$11.11	$32.79	$143.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $35.50 / $144.30	Professional		$29.99	$35.50	$144.30
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.34 / $16.88	Professional	26	$10.57	$12.34	$16.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $23.16 / $31.76	Professional	TC	$19.34	$23.16	$31.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.35 / $74.73	Professional		$19.00	$22.35	$74.73
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.26 / $13.99	Professional	26	$7.87	$9.26	$13.99
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.13 / $13.09 / $20.96	Professional	TC	$11.13	$13.09	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $33.04 / $122.47	Professional		$20.02	$33.04	$122.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $10.90 / $18.39	Professional	26	$7.46	$10.90	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $18.05 / $74.97	Professional	TC	$12.03	$18.05	$74.97