Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $77.62	Professional		$20.89	$33.88	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.79 / $43.65	Professional	26	$5.01	$14.79	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $57.54	Professional	TC	$15.85	$22.91	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	26	$11.22	$11.22	$11.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $30.90 / $69.18	Professional		$9.33	$30.90	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $63.10	Professional		$18.20	$29.51	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $6.92 / $14.13	Professional	26	$3.55	$6.92	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $25.70 / $57.54	Professional	TC	$13.49	$25.70	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $79.43	Professional		$20.89	$40.74	$79.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $7.94 / $23.99	Professional	26	$4.27	$7.94	$23.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $32.36 / $56.23	Professional	TC	$16.60	$32.36	$56.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $13,803.84 / $19,498.45	Facility		$151.36	$13,803.84	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $89.13	Professional		$21.88	$36.31	$89.13
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $7.76 / $13.49	Professional	26	$4.68	$7.76	$13.49
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.18 / $67.61	Professional	TC	$16.98	$28.18	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $51.29	Professional		$16.22	$26.30	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $5.25 / $9.77	Professional	26	$3.16	$5.25	$9.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.88 / $42.66	Professional	TC	$12.88	$21.88	$42.66