Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.91 / $11.91 / $61.73	Facility	26	$11.91	$11.91	$61.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $51.24 / $88.34	Professional		$41.72	$51.24	$88.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $13.67 / $21.76	Professional	26	$11.59	$13.67	$21.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.46 / $36.86 / $60.05	Professional	TC	$29.46	$36.86	$60.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.14 / $37.14	Professional		$32.22	$37.14	$37.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $99.63 / $99.63	Professional		$99.63	$99.63	$99.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $70.06 / $115.98	Professional		$39.38	$70.06	$115.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $18.14 / $29.97	Professional	26	$10.33	$18.14	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.05 / $51.44 / $87.24	Professional	TC	$29.05	$51.44	$87.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $75.29 / $102.73	Professional		$61.87	$75.29	$102.73
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $18.54 / $25.11	Professional	26	$15.77	$18.54	$25.11
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.34 / $56.75 / $77.62	Professional	TC	$47.34	$56.75	$77.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $47.74 / $81.89	Professional		$39.29	$47.74	$81.89
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $12.31 / $26.72	Professional	26	$10.46	$12.31	$26.72
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.93 / $67.40	Professional	TC	$28.84	$33.93	$67.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $54.04 / $103.43	Professional		$41.60	$54.04	$103.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $15.16 / $27.03	Professional	26	$10.77	$15.16	$27.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.65 / $42.86 / $78.13	Professional	TC	$30.65	$42.86	$78.13