Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $10.34 / $44.44	Facility	26	$10.33	$10.34	$44.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $29.48 / $53.65	Professional		$21.71	$29.48	$53.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.11 / $14.28	Professional	26	$8.08	$9.11	$14.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.77 / $19.59 / $29.04	Professional	TC	$13.77	$19.59	$29.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.00 / $7.00	Professional	26	$7.00	$7.00	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $41.78 / $68.31	Professional		$23.77	$41.78	$68.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $12.51 / $21.29	Professional	26	$6.94	$12.51	$21.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.93 / $27.34 / $43.39	Professional	TC	$15.93	$27.34	$43.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $44.50 / $76.65	Professional		$36.19	$44.50	$76.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.34 / $93.40	Professional	26	$10.57	$12.34	$93.40
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $32.15 / $93.40	Professional	TC	$26.82	$32.15	$93.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.59 / $55.05	Professional		$26.78	$31.59	$55.05
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.61 / $29.23	Professional	26	$8.17	$9.61	$29.23
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $23.09 / $37.36	Professional	TC	$18.68	$23.09	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $36.11 / $62.48	Professional		$25.46	$36.11	$62.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $11.29 / $18.68	Professional	26	$7.57	$11.29	$18.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $24.59 / $43.03	Professional	TC	$17.02	$24.59	$43.03