Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $149.94 / $258.08	Professional		$84.81	$149.94	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $43.11 / $71.55	Professional	26	$25.84	$43.11	$71.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $114.19 / $204.02	Professional	TC	$58.70	$114.19	$204.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $141.46 / $371.75	Professional		$61.51	$141.46	$371.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $35.20 / $107.57	Professional	26	$19.05	$35.20	$107.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $100.83 / $264.00	Professional	TC	$42.46	$100.83	$264.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $115.73 / $210.86	Professional		$81.01	$115.73	$210.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $35.68 / $60.09	Professional	26	$23.09	$35.68	$60.09
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $57.93 / $91.81 / $150.77	Professional	TC	$57.93	$91.81	$150.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $113.35 / $348.02	Professional		$79.14	$113.35	$348.02
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $32.97 / $236.49	Professional	26	$22.98	$32.97	$236.49
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.17 / $76.91 / $217.39	Professional	TC	$56.17	$76.91	$217.39
United Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $113.06 / $217.56	Professional		$53.85	$113.06	$217.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $31.56 / $53.60	Professional	26	$15.31	$31.56	$53.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.54 / $80.83 / $132.56	Professional	TC	$38.54	$80.83	$132.56