Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $38.56 / $63.67	Professional		$30.84	$38.56	$63.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $25.56 / $83.31	Professional	26	$19.29	$25.56	$83.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.25 / $12.20 / $28.40	Professional	TC	$9.25	$12.20	$28.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $44.64 / $87.36	Professional		$22.46	$44.64	$87.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $31.08 / $55.43	Professional	26	$16.07	$31.08	$55.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.38 / $13.70 / $31.43	Professional	TC	$6.38	$13.70	$31.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $52.12 / $81.31	Professional		$40.34	$52.12	$81.31
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $30.75 / $42.93	Professional	26	$21.53	$30.75	$42.93
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $29.87 / $38.40	Professional	TC	$18.82	$29.87	$38.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $37.42 / $62.88	Professional		$17.44	$37.42	$62.88
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.54 / $28.91 / $53.22	Professional	26	$20.54	$28.91	$53.22
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.35 / $19.18 / $33.79	Professional	TC	$15.35	$19.18	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $41.76 / $70.73	Professional		$22.02	$41.76	$70.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $26.27 / $44.35	Professional	26	$14.00	$26.27	$44.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.02 / $18.48 / $30.82	Professional	TC	$10.02	$18.48	$30.82