Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.69 / $25.60	Professional		$12.80	$16.69	$25.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $11.93 / $33.15	Professional	26	$8.01	$11.93	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.28 / $6.84 / $12.94	Professional	TC	$5.28	$6.84	$12.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Professional	26	$20.42	$20.42	$20.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $23.14 / $110.25	Professional		$14.00	$23.14	$110.25
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $23.90 / $23.90	Professional	26	$23.90	$23.90	$23.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $19.14 / $35.26	Professional		$10.29	$19.14	$35.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $12.70 / $23.90	Professional	26	$6.37	$12.70	$23.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.74 / $6.38 / $15.59	Professional	TC	$3.74	$6.38	$15.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $22.56 / $35.00	Professional		$15.02	$22.56	$35.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.47 / $17.48	Professional	26	$8.73	$12.47	$17.48
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.30 / $10.07 / $15.79	Professional	TC	$6.30	$10.07	$15.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.23 / $25.25	Professional		$8.40	$12.23	$25.25
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $16.73 / $21.26	Professional	26	$8.19	$16.73	$21.26
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.34 / $7.46 / $13.58	Professional	TC	$6.34	$7.46	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $17.41 / $27.87	Professional		$9.32	$17.41	$27.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.74 / $10.39 / $17.64	Professional	26	$5.74	$10.39	$17.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.75 / $7.48 / $12.62	Professional	TC	$3.75	$7.48	$12.62