Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $36.26 / $76.59	Professional		$27.44	$36.26	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.98 / $38.19	Professional	26	$7.99	$10.98	$38.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $32.82 / $54.83	Professional	TC	$22.00	$32.82	$54.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $23.83 / $39.51	Professional		$23.83	$23.83	$39.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $18.52 / $18.52	Professional	26	$18.52	$18.52	$18.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $40.65 / $91.50	Professional		$12.07	$40.65	$91.50
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $22.98 / $22.98	Professional	26	$22.98	$22.98	$22.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $38.40 / $90.39	Professional		$24.25	$38.40	$90.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $11.57 / $22.85	Professional	26	$5.94	$11.57	$22.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $31.58 / $72.01	Professional	TC	$16.98	$31.58	$72.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $50.26 / $82.85	Professional		$31.83	$50.26	$82.85
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $12.48 / $25.34	Professional	26	$8.00	$12.48	$25.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $37.79 / $59.14	Professional	TC	$23.83	$37.79	$59.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $41.22 / $99.11	Professional		$28.85	$41.22	$99.11
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $9.52 / $29.86	Professional	26	$7.69	$9.52	$29.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $32.95 / $64.25	Professional	TC	$21.16	$32.95	$64.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $33.36 / $62.79	Professional		$21.24	$33.36	$62.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.29 / $9.25 / $16.16	Professional	26	$5.29	$9.25	$16.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.77 / $26.95 / $51.54	Professional	TC	$15.77	$26.95	$51.54