Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.89 / $25.90 / $67.80	Facility	26	$25.89	$25.90	$67.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $78.34 / $106.27	Professional		$35.61	$78.34	$106.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $24.93 / $34.93	Professional	26	$21.45	$24.93	$34.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $53.40 / $71.34	Professional	TC	$13.72	$53.40	$71.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $39.90	Professional	26	$19.05	$19.05	$39.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $46.49 / $140.25	Professional		$25.29	$46.49	$140.25
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $20.81 / $34.22 / $53.31	Professional	26	$20.81	$34.22	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $87.54 / $161.68	Professional		$34.11	$87.54	$161.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $31.13 / $55.96	Professional	26	$20.25	$31.13	$55.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.67 / $56.52 / $109.38	Professional	TC	$13.67	$56.52	$109.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $56.15 / $56.15	Professional		$47.62	$56.15	$56.15
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $32.04 / $32.04	Professional	26	$27.49	$32.04	$32.04
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $24.11 / $24.11	Professional	TC	$20.13	$24.11	$24.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $40.61 / $85.90	Professional		$20.90	$40.61	$85.90
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $23.20 / $46.69	Professional	26	$19.22	$23.20	$46.69
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $30.80 / $93.57	Professional	TC	$19.89	$30.80	$93.57
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $60.24 / $101.20	Professional		$31.50	$60.24	$101.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $26.00 / $45.96	Professional	26	$17.94	$26.00	$45.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.18 / $32.36 / $65.70	Professional	TC	$15.18	$32.36	$65.70