Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.19 / $383.40	Facility	26	$83.18	$83.19	$383.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $143.13 / $170.62	Professional		$91.60	$143.13	$170.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $53.62 / $70.75	Professional	TC	$31.73	$53.62	$70.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $194.05 / $335.32	Professional		$106.18	$194.05	$335.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $74.59 / $145.88	Professional	TC	$40.47	$74.59	$145.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $197.60 / $197.60	Professional		$167.86	$197.60	$197.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $63.47 / $76.18 / $76.18	Professional	TC	$63.47	$76.18	$76.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $126.11 / $212.56	Professional		$74.77	$126.11	$212.56
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.41 / $53.65 / $119.07	Professional	TC	$43.41	$53.65	$119.07
United Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $174.82 / $290.05	Professional		$130.83	$174.82	$290.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.34 / $64.78 / $112.93	Professional	TC	$46.34	$64.78	$112.93