Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.01 / $24.02 / $72.30	Facility	26	$24.01	$24.02	$72.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $84.71 / $159.91	Professional		$44.71	$84.71	$159.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $26.84 / $56.96	Professional	26	$21.69	$26.84	$56.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $44.18 / $98.75	Professional	TC	$23.02	$44.18	$98.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $48.63 / $60.11	Professional		$39.65	$48.63	$60.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $24.08 / $50.87	Professional	26	$20.23	$24.08	$50.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $89.74 / $172.06	Professional		$50.16	$89.74	$172.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $94.72 / $193.42	Professional		$51.14	$94.72	$193.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $36.86 / $62.71	Professional	26	$19.98	$36.86	$62.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $53.27 / $119.82	Professional	TC	$26.32	$53.27	$119.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $90.96 / $143.58	Professional		$69.03	$90.96	$143.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.99 / $36.15 / $62.38	Professional	26	$29.99	$36.15	$62.38
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $47.33 / $81.22	Professional	TC	$39.04	$47.33	$81.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $52.85 / $93.55	Professional		$36.61	$52.85	$93.55
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $27.77 / $80.84	Professional	26	$23.05	$27.77	$80.84
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.33 / $31.31 / $78.55	Professional	TC	$25.33	$31.31	$78.55
United Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $72.95 / $123.79	Professional		$46.46	$72.95	$123.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $31.98 / $52.50	Professional	26	$20.38	$31.98	$52.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $38.63 / $78.56	Professional	TC	$24.96	$38.63	$78.56