Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $93.33	Facility		$32.36	$63.10	$93.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $40.74 / $72.44	Facility	26	$20.89	$40.74	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $38.02	Professional		$9.77	$14.13	$38.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $34.67	Professional	26	$6.03	$8.91	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $12.30	Professional	50	$11.48	$11.48	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $3.98 / $9.55	Professional	TC	$2.29	$3.98	$9.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.77 / $11.48	Professional		$8.71	$9.77	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $17.78	Facility		$8.91	$10.23	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $29.51	Professional		$10.00	$16.98	$29.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.22 / $18.20	Professional	26	$6.46	$11.22	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $5.01 / $9.55	Professional	TC	$2.69	$5.01	$9.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $19.95	Professional		$13.80	$14.45	$19.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.12 / $12.59	Professional	26	$8.71	$9.12	$12.59
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $5.25 / $7.24	Professional	TC	$4.90	$5.25	$7.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $128.82	Facility		$56.23	$81.28	$128.82
Horizon BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $28.84	Professional		$7.08	$12.02	$28.84
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.33 / $18.20	Professional	26	$6.76	$9.33	$18.20
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $4.47 / $10.47	Professional	TC	$3.47	$4.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $61.66	Facility		$33.11	$40.74	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $23.44	Professional		$8.91	$12.88	$23.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $8.71 / $15.49	Professional	26	$5.75	$8.71	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $3.98 / $7.76	Professional	TC	$2.75	$3.98	$7.76