Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.68 / $25.23	Facility	26	$9.67	$9.68	$25.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $51.52 / $112.03	Professional		$31.13	$51.52	$112.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $9.68 / $17.32	Professional	26	$7.68	$9.68	$17.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $40.65 / $93.64	Professional	TC	$22.90	$40.65	$93.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $33.61 / $39.83	Professional		$25.49	$33.61	$39.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $7.76 / $17.27	Professional	26	$6.96	$7.76	$17.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.14 / $39.14 / $39.14	Professional	TC	$39.14	$39.14	$39.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $66.30 / $165.68	Professional		$16.48	$66.30	$165.68
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $16.38 / $30.19	Professional	26	$9.59	$16.38	$30.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $68.94 / $184.12	Professional		$31.77	$68.94	$184.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $12.04 / $20.51	Professional	26	$6.68	$12.04	$20.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $57.93 / $145.47	Professional	TC	$23.82	$57.93	$145.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $59.63 / $153.43	Professional		$46.12	$59.63	$153.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.34 / $315.08	Professional	26	$10.57	$12.34	$315.08
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $42.59 / $315.08	Professional	TC	$35.47	$42.59	$315.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $39.47 / $105.19	Professional		$29.44	$39.47	$105.19
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.47 / $33.29	Professional	26	$7.87	$9.47	$33.29
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $30.94 / $86.29	Professional	TC	$25.02	$30.94	$86.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $67.02 / $95.64	Professional		$35.58	$67.02	$95.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $11.12 / $17.97	Professional	26	$7.10	$11.12	$17.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $38.94 / $77.33	Professional	TC	$23.85	$38.94	$77.33