Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $84.86 / $257.06	Professional		$55.25	$84.86	$257.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $18.66 / $22.84	Professional	26	$13.91	$18.66	$22.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $61.80 / $76.97	Professional	TC	$34.76	$61.80	$76.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $70.61 / $155.37	Professional		$42.99	$70.61	$155.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $21.81 / $41.11	Professional	26	$11.90	$21.81	$41.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.62 / $52.43 / $117.27	Professional	TC	$30.62	$52.43	$117.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $91.23 / $140.00	Professional		$63.86	$91.23	$140.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $19.93 / $27.76	Professional	26	$13.95	$19.93	$27.76
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $49.91 / $71.30 / $101.75	Professional	TC	$49.91	$71.30	$101.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $87.57 / $167.44	Professional		$67.16	$87.57	$167.44
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.90 / $19.80 / $72.66	Professional	26	$14.90	$19.80	$72.66
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.35 / $69.91 / $127.13	Professional	TC	$53.35	$69.91	$127.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $80.28 / $129.06	Professional		$38.19	$80.28	$129.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $18.48 / $29.56	Professional	26	$9.05	$18.48	$29.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.81 / $60.34 / $97.92	Professional	TC	$32.81	$60.34	$97.92