Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.24 / $353.63 / $435.75	Professional		$307.24	$353.63	$435.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.01 / $39.81 / $47.26	Professional	26	$31.01	$39.81	$47.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.75 / $326.18 / $432.31	Professional	TC	$269.75	$326.18	$432.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $472.29 / $851.52	Professional		$247.96	$472.29	$851.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $50.16 / $93.41	Professional	26	$26.38	$50.16	$93.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.04 / $407.62 / $758.10	Professional	TC	$218.04	$407.62	$758.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $433.30 / $615.59	Professional		$303.31	$433.30	$615.59
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $48.61 / $67.81	Professional	26	$34.03	$48.61	$67.81
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.27 / $384.69 / $547.78	Professional	TC	$269.27	$384.69	$547.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $457.62 / $877.30	Professional		$315.64	$457.62	$877.30
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $44.94 / $546.01	Professional	26	$32.82	$44.94	$546.01
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.82 / $375.98 / $713.00	Professional	TC	$282.82	$375.98	$713.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $367.46 / $663.10	Professional		$204.52	$367.46	$663.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.45 / $41.14 / $68.94	Professional	26	$22.45	$41.14	$68.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.37 / $365.49 / $594.16	Professional	TC	$179.37	$365.49	$594.16