Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $218.78	Professional		$85.11	$120.23	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $43.65 / $218.78	Professional	26	$30.20	$43.65	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $87.10 / $165.96	Professional	TC	$53.70	$87.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $316.23	Professional		$70.79	$151.36	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $42.66 / $107.15	Professional	26	$21.88	$42.66	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $100.00 / $234.42	Professional	TC	$46.77	$100.00	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $223.87	Professional		$112.20	$177.83	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $46.77 / $58.88	Professional	26	$29.51	$46.77	$58.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $131.83 / $165.96	Professional	TC	$81.28	$131.83	$165.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $446.68	Professional		$91.20	$151.36	$446.68
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $114.82	Professional	26	$28.18	$47.86	$114.82
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $117.49 / $331.13	Professional	TC	$64.57	$117.49	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $223.87	Professional		$69.18	$114.82	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $34.67 / $70.79	Professional	26	$19.50	$34.67	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $79.43 / $165.96	Professional	TC	$48.98	$79.43	$165.96