Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.04 / $98.04 / $469.85	Facility	26	$98.04	$98.04	$469.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.43 / $940.81 / $1,080.31	Professional		$691.43	$940.81	$1,080.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $593.39 / $849.75 / $978.47	Professional	TC	$593.39	$849.75	$978.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $1,008.37 / $1,854.95	Professional		$396.49	$1,008.37	$1,854.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.80 / $854.20 / $1,682.44	Professional	TC	$288.80	$854.20	$1,682.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.08 / $1,326.09 / $1,326.09	Professional		$1,108.08	$1,326.09	$1,326.09
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $992.83 / $1,194.78 / $1,194.78	Professional	TC	$992.83	$1,194.78	$1,194.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.30 / $885.63 / $1,316.43	Professional		$718.30	$885.63	$1,316.43
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $636.00 / $786.50 / $1,190.04	Professional	TC	$636.00	$786.50	$1,190.04
United Facility/Professional Professional Modifier Low / Median / High Price $514.84 / $866.15 / $1,718.46	Professional		$514.84	$866.15	$1,718.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $510.28 / $783.19 / $1,530.41	Professional	TC	$510.28	$783.19	$1,530.41