Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $50.72 / $65.55	Professional		$38.58	$50.72	$65.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.33 / $31.76 / $61.51	Professional	26	$24.33	$31.76	$61.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.07 / $19.05 / $23.31	Professional	TC	$14.07	$19.05	$23.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $50.25 / $97.05	Professional		$30.16	$50.25	$97.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $37.75 / $69.70	Professional	26	$19.38	$37.75	$69.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $16.12 / $39.81	Professional	TC	$9.88	$16.12	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $58.38 / $82.03	Professional		$40.86	$58.38	$82.03
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.34 / $37.63 / $52.49	Professional	26	$26.34	$37.63	$52.49
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.53 / $20.75 / $29.54	Professional	TC	$14.53	$20.75	$29.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $44.89 / $75.59	Professional		$25.87	$44.89	$75.59
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $30.33 / $55.25	Professional	26	$25.10	$30.33	$55.25
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.78 / $16.07 / $29.02	Professional	TC	$12.78	$16.07	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $46.19 / $80.23	Professional		$25.31	$46.19	$80.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $30.45 / $48.34	Professional	26	$17.20	$30.45	$48.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.57 / $13.60 / $26.85	Professional	TC	$9.57	$13.60	$26.85