Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $13.49 / $61.66	Facility	26	$9.77	$13.49	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $288.40	Professional		$32.36	$64.57	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $30.90	Professional	26	$7.94	$11.48	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.02 / $165.96	Professional	TC	$22.91	$38.02	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $46.77	Professional		$23.99	$35.48	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.91 / $17.38	Professional	26	$7.24	$8.91	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $38.02	Professional	TC	$22.39	$37.15	$38.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $42.66 / $89.13	Professional		$10.23	$42.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $162.18	Professional		$31.62	$67.61	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.30 / $20.42	Professional	26	$7.08	$12.30	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $56.23 / $128.82	Professional	TC	$23.99	$56.23	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $316.23	Professional		$46.77	$67.61	$316.23
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.59 / $316.23	Professional	26	$10.96	$12.59	$316.23
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $316.23	Professional	TC	$36.31	$43.65	$316.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $109.65	Professional		$34.67	$41.69	$109.65
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $30.20	Professional	26	$8.13	$9.55	$30.20
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.90 / $83.18	Professional	TC	$26.30	$30.90	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $107.15	Professional		$33.88	$63.10	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $19.05	Professional	26	$7.08	$10.72	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $89.13	Professional	TC	$23.44	$39.81	$89.13