Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.61 / $101.93	Facility	26	$19.60	$19.61	$101.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $45.62 / $86.77	Professional		$36.70	$45.62	$86.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.86 / $46.07	Professional	26	$19.55	$22.86	$46.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $23.11 / $37.39	Professional	TC	$17.16	$23.11	$37.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $40.97 / $77.12	Professional		$31.97	$40.97	$77.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.67 / $34.65 / $39.60	Professional	26	$18.67	$34.65	$39.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $58.02 / $121.23	Professional		$48.20	$58.02	$121.23
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $33.60	Professional	26	$28.27	$28.27	$33.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $67.42 / $125.53	Professional		$37.92	$67.42	$125.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $31.81 / $53.56	Professional	26	$16.97	$31.81	$53.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $32.92 / $77.77	Professional	TC	$17.59	$32.92	$77.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $60.25 / $129.22	Professional		$49.51	$60.25	$129.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $30.94 / $65.81	Professional	26	$25.22	$30.94	$65.81
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $29.33 / $63.42	Professional	TC	$24.30	$29.33	$63.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $39.79 / $59.06	Professional		$21.62	$39.79	$59.06
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $24.10 / $44.15	Professional	26	$20.49	$24.10	$44.15
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $22.72 / $60.08	Professional	TC	$19.30	$22.72	$60.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $59.40 / $92.34	Professional		$33.50	$59.40	$92.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $26.69 / $45.71	Professional	26	$17.10	$26.69	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $26.42 / $50.25	Professional	TC	$16.30	$26.42	$50.25