Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $120.23	Professional		$39.81	$56.23	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $77.62	Professional	26	$15.14	$19.95	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $75.86	Professional	TC	$25.12	$37.15	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $114.82	Professional		$30.90	$46.77	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $24.55 / $43.65	Professional	26	$13.18	$24.55	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $32.36 / $77.62	Professional	TC	$17.78	$32.36	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $128.82	Professional		$63.10	$100.00	$128.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $27.54 / $35.48	Professional	26	$17.78	$27.54	$35.48
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $72.44 / $93.33	Professional	TC	$44.67	$72.44	$93.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $120.23	Professional		$30.90	$56.23	$120.23
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $26.30 / $47.86	Professional	26	$16.98	$26.30	$47.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $60.26 / $93.33	Professional	TC	$32.36	$60.26	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $97.72	Professional		$30.20	$52.48	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $35.48	Professional	26	$11.48	$19.50	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $34.67 / $64.57	Professional	TC	$19.95	$34.67	$64.57