Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.72 / $38.72 / $184.89	Facility	26	$38.72	$38.72	$184.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $219.86 / $297.02	Professional		$153.03	$219.86	$297.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.48 / $181.15 / $250.40	Professional	TC	$124.48	$181.15	$250.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $283.17 / $476.91	Professional		$177.51	$283.17	$476.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.56 / $226.93 / $390.66	Professional	TC	$144.56	$226.93	$390.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $285.54 / $285.54	Professional		$285.54	$285.54	$285.54
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.13 / $229.13 / $229.13	Professional	TC	$229.13	$229.13	$229.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $223.71 / $329.82	Professional		$190.15	$223.71	$329.82
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.13 / $181.33 / $314.52	Professional	TC	$154.13	$181.33	$314.52
United Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $272.57 / $470.71	Professional		$174.68	$272.57	$470.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.30 / $221.30 / $385.26	Professional	TC	$153.30	$221.30	$385.26