Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.84 / $52.84 / $271.95	Facility	26	$52.84	$52.84	$271.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $315.69 / $391.22	Professional		$210.87	$315.69	$391.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.08 / $60.42 / $71.26	Professional	26	$44.08	$60.42	$71.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.65 / $251.71 / $327.91	Professional	TC	$169.65	$251.71	$327.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $416.04 / $733.60	Professional		$254.53	$416.04	$733.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.71 / $78.08 / $130.87	Professional	26	$44.71	$78.08	$130.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.82 / $329.93 / $537.41	Professional	TC	$194.82	$329.93	$537.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $428.54 / $428.54 / $428.54	Professional		$428.54	$428.54	$428.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.31 / $83.31 / $83.31	Professional	26	$83.31	$83.31	$83.31
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $345.23 / $345.23 / $345.23	Professional	TC	$345.23	$345.23	$345.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $337.28 / $494.85	Professional		$286.69	$337.28	$494.85
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $62.82 / $94.04	Professional	26	$53.40	$62.82	$94.04
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.29 / $274.45 / $411.61	Professional	TC	$233.29	$274.45	$411.61
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $417.05 / $693.09	Professional		$298.30	$417.05	$693.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $78.12 / $130.06	Professional	26	$58.29	$78.12	$130.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.64 / $336.90 / $583.17	Professional	TC	$237.64	$336.90	$583.17