Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $57.09 / $85.00	Professional		$47.74	$57.09	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $24.01 / $49.00	Professional	26	$17.98	$24.01	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.75 / $34.40 / $57.82	Professional	TC	$29.75	$34.40	$57.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $77.34 / $216.75	Professional		$64.00	$77.34	$216.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $56.16 / $112.30	Professional		$35.40	$56.16	$112.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $28.63 / $51.69	Professional	26	$14.58	$28.63	$51.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $30.93 / $84.85	Professional	TC	$18.68	$30.93	$84.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $84.93 / $120.37	Professional		$59.45	$84.93	$120.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $27.94 / $38.99	Professional	26	$19.55	$27.94	$38.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.89 / $61.94 / $81.39	Professional	TC	$39.89	$61.94	$81.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $56.74 / $101.72	Professional		$42.01	$56.74	$101.72
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $23.39 / $47.66	Professional	26	$18.89	$23.39	$47.66
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $39.11 / $75.84	Professional	TC	$28.57	$39.11	$75.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $59.20 / $99.73	Professional		$31.86	$59.20	$99.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $23.63 / $39.72	Professional	26	$12.75	$23.63	$39.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $30.39 / $60.01	Professional	TC	$21.98	$30.39	$60.01