Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $34.67 / $55.22	Professional		$21.89	$34.67	$55.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.96 / $6.48 / $17.64	Professional	26	$4.96	$6.48	$17.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $27.19 / $49.76	Professional	TC	$16.92	$27.19	$49.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $18.69 / $30.79	Professional		$18.69	$18.69	$30.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $9.14 / $9.14	Professional	26	$9.14	$9.14	$9.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $30.57 / $69.02	Professional		$9.36	$30.57	$69.02
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $13.25 / $13.25	Professional	26	$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $29.25 / $67.43	Professional		$18.05	$29.25	$67.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.57 / $7.08 / $14.24	Professional	26	$3.57	$7.08	$14.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.64 / $25.65 / $58.45	Professional	TC	$13.64	$25.65	$58.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $39.49 / $64.92	Professional		$24.94	$39.49	$64.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.87 / $7.64 / $12.68	Professional	26	$4.87	$7.64	$12.68
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $31.85 / $52.24	Professional	TC	$20.07	$31.85	$52.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $32.97 / $93.81	Professional		$21.73	$32.97	$93.81
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.65 / $6.37 / $29.03	Professional	26	$4.65	$6.37	$29.03
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $22.69 / $51.94	Professional	TC	$17.07	$22.69	$51.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $26.69 / $50.67	Professional		$16.48	$26.69	$50.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.11 / $4.95 / $8.61	Professional	26	$3.11	$4.95	$8.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.56 / $24.38 / $40.65	Professional	TC	$12.56	$24.38	$40.65