Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $263.03	Professional		$61.66	$120.23	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $40.74 / $194.98	Professional	26	$21.88	$40.74	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $89.13 / $389.05	Professional	TC	$45.71	$89.13	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $194.98	Professional		$54.95	$87.10	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.31 / $70.79	Professional	26	$19.95	$36.31	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $58.88 / $147.91	Professional	TC	$31.62	$58.88	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $213.80	Professional		$104.71	$165.96	$213.80
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $48.98	Professional	26	$24.55	$38.02	$48.98
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $125.89 / $162.18	Professional	TC	$79.43	$125.89	$162.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $239.88	Professional		$72.44	$104.71	$239.88
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $39.81 / $77.62	Professional	26	$23.99	$39.81	$77.62
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $104.71 / $186.21	Professional	TC	$64.57	$104.71	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $177.83	Professional		$52.48	$97.72	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $26.92 / $51.29	Professional	26	$16.22	$26.92	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $69.18 / $128.82	Professional	TC	$37.15	$69.18	$128.82