Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.79 / $97.80 / $416.36	Facility	26	$97.79	$97.80	$416.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.74 / $423.12 / $602.49	Professional		$362.74	$423.12	$602.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.48 / $97.80 / $134.57	Professional	26	$87.48	$97.80	$134.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.61 / $323.22 / $473.07	Professional	TC	$268.61	$323.22	$473.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.86 / $83.86 / $154.25	Professional	26	$83.86	$83.86	$154.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $573.62 / $1,073.83	Professional		$355.51	$573.62	$1,073.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.42 / $129.33 / $227.74	Professional	26	$85.42	$129.33	$227.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.26 / $439.60 / $827.33	Professional	TC	$271.26	$439.60	$827.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $471.69 / $563.14 / $563.14	Professional		$471.69	$563.14	$563.14
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.88 / $141.09 / $141.09	Professional	26	$120.88	$141.09	$141.09
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $350.81 / $422.05 / $422.05	Professional	TC	$350.81	$422.05	$422.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $467.12 / $666.93	Professional		$379.76	$467.12	$666.93
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.65 / $103.43 / $510.12	Professional	26	$85.65	$103.43	$510.12
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.11 / $363.69 / $633.29	Professional	TC	$294.11	$363.69	$633.29
United Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $506.95 / $908.95	Professional		$327.83	$506.95	$908.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $131.19 / $201.25	Professional	26	$79.92	$131.19	$201.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.35 / $389.86 / $707.70	Professional	TC	$236.35	$389.86	$707.70