Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $24.47 / $34.72	Professional		$18.77	$24.47	$34.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $18.71 / $48.96	Professional	26	$13.98	$18.71	$48.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $5.76 / $8.36	Professional	TC	$4.79	$5.76	$8.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $54.40 / $83.30	Professional		$50.84	$54.40	$83.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $30.11 / $57.75	Professional		$16.43	$30.11	$57.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $22.67 / $43.16	Professional	26	$12.06	$22.67	$43.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.19 / $7.34 / $14.33	Professional	TC	$4.19	$7.34	$14.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $31.08 / $43.67	Professional		$21.76	$31.08	$43.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $21.78 / $30.44	Professional	26	$15.25	$21.78	$30.44
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.51 / $9.30 / $13.24	Professional	TC	$6.51	$9.30	$13.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $20.10 / $36.83	Professional		$8.40	$20.10	$36.83
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $17.64 / $32.13	Professional	26	$14.59	$17.64	$32.13
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.11 / $7.00 / $12.89	Professional	TC	$5.11	$7.00	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $24.26 / $38.67	Professional		$14.38	$24.26	$38.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $19.16 / $28.35	Professional	26	$10.06	$19.16	$28.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.83 / $6.04 / $10.74	Professional	TC	$3.83	$6.04	$10.74