Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.07 / $61.08 / $321.14	Facility	26	$61.07	$61.08	$321.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $385.08 / $497.87	Professional		$305.39	$385.08	$497.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $74.05 / $89.93	Professional	26	$61.08	$74.05	$89.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.32 / $311.02 / $410.21	Professional	TC	$244.32	$311.02	$410.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.80 / $54.80 / $54.80	Professional	26	$54.80	$54.80	$54.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $530.92 / $898.13	Professional		$305.61	$530.92	$898.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.25 / $92.07 / $157.28	Professional	26	$53.25	$92.07	$157.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.93 / $432.56 / $767.76	Professional	TC	$255.93	$432.56	$767.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $545.40 / $545.40	Professional		$545.40	$545.40	$545.40
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	26	$95.50	$95.50	$95.50
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $449.90 / $449.90 / $449.90	Professional	TC	$449.90	$449.90	$449.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.76 / $447.76 / $553.98	Professional		$348.76	$447.76	$553.98
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $62.66 / $73.72	Professional	26	$61.21	$62.66	$73.72
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $319.39 / $375.75 / $477.60	Professional	TC	$319.39	$375.75	$477.60
United Facility/Professional Professional Modifier Low / Median / High Price $352.08 / $506.55 / $874.95	Professional		$352.08	$506.55	$874.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.55 / $86.70 / $145.19	Professional	26	$63.55	$86.70	$145.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.68 / $428.21 / $725.46	Professional	TC	$309.68	$428.21	$725.46