Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $446.68 / $691.83	Facility	26	$245.47	$446.68	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $354.81	Professional		$107.15	$144.54	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $56.23 / $134.90	Professional	TC	$38.90	$56.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $338.84	Professional		$114.82	$194.98	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $77.62 / $144.54	Professional	TC	$42.66	$77.62	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $199.53	Professional		$169.82	$190.55	$199.53
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $72.44 / $77.62	Professional	TC	$64.57	$72.44	$77.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $309.03	Professional		$89.13	$147.91	$309.03
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $61.66 / $125.89	Professional	TC	$45.71	$61.66	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $302.00	Professional		$123.03	$173.78	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $64.57 / $117.49	Professional	TC	$44.67	$64.57	$117.49