Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $52.94 / $67.29	Professional		$45.60	$52.94	$67.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $21.30 / $62.84	Professional	26	$16.30	$21.30	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $31.02 / $44.08	Professional	TC	$26.60	$31.02	$44.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $55.02 / $110.00	Professional		$29.82	$55.02	$110.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $26.32 / $46.81	Professional	26	$13.48	$26.32	$46.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $32.14 / $80.25	Professional	TC	$15.65	$32.14	$80.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $80.29 / $125.73	Professional		$62.04	$80.29	$125.73
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $25.91 / $36.19	Professional	26	$18.14	$25.91	$36.19
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.90 / $62.71 / $89.53	Professional	TC	$43.90	$62.71	$89.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $58.47 / $91.05	Professional		$33.24	$58.47	$91.05
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $25.08 / $44.27	Professional	26	$17.55	$25.08	$44.27
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $40.47 / $73.58	Professional	TC	$32.15	$40.47	$73.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $58.71 / $101.56	Professional		$30.51	$58.71	$101.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $24.37 / $37.90	Professional	26	$11.85	$24.37	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $37.97 / $67.38	Professional	TC	$24.07	$37.97	$67.38