Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.78 / $80.78 / $419.07	Facility	26	$80.78	$80.78	$419.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.91 / $869.38 / $1,034.60	Professional		$754.91	$869.38	$1,034.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.52 / $92.77 / $103.27	Professional	26	$77.52	$92.77	$103.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $662.14 / $778.28 / $936.96	Professional	TC	$662.14	$778.28	$936.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.29 / $1,132.15 / $1,925.29	Professional		$664.29	$1,132.15	$1,925.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $119.62 / $203.52	Professional	26	$69.67	$119.62	$203.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $594.62 / $1,010.17 / $1,731.66	Professional	TC	$594.62	$1,010.17	$1,731.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.33 / $1,128.33 / $1,128.33	Professional		$1,128.33	$1,128.33	$1,128.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.81 / $125.81 / $125.81	Professional	26	$125.81	$125.81	$125.81
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,002.51 / $1,002.51 / $1,002.51	Professional	TC	$1,002.51	$1,002.51	$1,002.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.34 / $933.34 / $1,405.71	Professional		$793.34	$933.34	$1,405.71
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $95.77 / $119.71	Professional	26	$81.40	$95.77	$119.71
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $711.94 / $837.58 / $1,133.63	Professional	TC	$711.94	$837.58	$1,133.63
United Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $1,078.47 / $1,834.18	Professional		$779.26	$1,078.47	$1,834.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.00 / $115.13 / $198.19	Professional	26	$86.00	$115.13	$198.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $690.10 / $936.09 / $1,641.69	Professional	TC	$690.10	$936.09	$1,641.69