Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $53.47 / $68.75	Professional		$40.81	$53.47	$68.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $20.26 / $24.10	Professional	26	$15.62	$20.26	$24.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $31.57 / $45.59	Professional	TC	$24.61	$31.57	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $60.62 / $110.72	Professional		$31.15	$60.62	$110.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $25.21 / $44.00	Professional	26	$13.25	$25.21	$44.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $34.15 / $70.98	Professional	TC	$17.89	$34.15	$70.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $89.34 / $126.75	Professional		$62.54	$89.34	$126.75
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $25.56 / $35.68	Professional	26	$17.89	$25.56	$35.68
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.65 / $63.79 / $91.06	Professional	TC	$44.65	$63.79	$91.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $56.07 / $87.31	Professional		$30.62	$56.07	$87.31
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $24.43 / $55.59	Professional	26	$17.05	$24.43	$55.59
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $43.73 / $65.59	Professional	TC	$34.27	$43.73	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $60.90 / $97.51	Professional		$29.18	$60.90	$97.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $21.79 / $35.82	Professional	26	$11.56	$21.79	$35.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $36.68 / $64.31	Professional	TC	$21.78	$36.68	$64.31