Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $110.82 / $150.25	Professional		$92.04	$110.82	$150.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $47.18 / $116.99	Professional	26	$33.72	$47.18	$116.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.64 / $81.70 / $163.40	Professional	TC	$56.64	$81.70	$163.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $136.00 / $255.38	Professional		$75.95	$136.00	$255.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $50.58 / $104.41	Professional	26	$25.17	$50.58	$104.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.13 / $87.50 / $169.67	Professional	TC	$49.13	$87.50	$169.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $122.40 / $172.92	Professional		$85.68	$122.40	$172.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $42.93 / $59.67	Professional	26	$30.05	$42.93	$59.67
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $55.63 / $79.47 / $113.25	Professional	TC	$55.63	$79.47	$113.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $112.89 / $196.38	Professional		$73.22	$112.89	$196.38
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $39.82 / $131.91	Professional	26	$29.95	$39.82	$131.91
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.46 / $83.52 / $229.24	Professional	TC	$58.46	$83.52	$229.24
United Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $104.44 / $180.88	Professional		$56.98	$104.44	$180.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $37.25 / $63.63	Professional	26	$19.85	$37.25	$63.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $59.24 / $113.40	Professional	TC	$36.86	$59.24	$113.40