Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $224.65 / $613.71	Professional		$140.15	$224.65	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.76 / $108.98 / $118.20	Professional	26	$72.76	$108.98	$118.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.45 / $107.69 / $161.00	Professional	TC	$53.45	$107.69	$161.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $207.54 / $456.01	Professional		$119.38	$207.54	$456.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.14 / $120.94 / $240.71	Professional	26	$65.14	$120.94	$240.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.19 / $90.87 / $218.99	Professional	TC	$49.19	$90.87	$218.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $248.17 / $349.42	Professional		$173.72	$248.17	$349.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.64 / $120.91 / $167.60	Professional	26	$84.64	$120.91	$167.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $89.09 / $127.27 / $181.82	Professional	TC	$89.09	$127.27	$181.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $205.00 / $405.75	Professional		$155.36	$205.00	$405.75
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.82 / $106.50 / $216.36	Professional	26	$85.82	$106.50	$216.36
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.12 / $99.87 / $214.48	Professional	TC	$75.12	$99.87	$214.48
United Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $195.12 / $338.13	Professional		$112.51	$195.12	$338.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $110.31 / $172.05	Professional	26	$55.94	$110.31	$172.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.29 / $92.53 / $164.81	Professional	TC	$53.29	$92.53	$164.81