Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $131.08 / $220.49	Professional		$95.36	$131.08	$220.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.69 / $44.26 / $56.58	Professional	26	$31.69	$44.26	$56.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.76 / $93.53 / $167.89	Professional	TC	$62.76	$93.53	$167.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $138.41 / $332.97	Professional		$70.98	$138.41	$332.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $43.10 / $117.28	Professional	26	$22.19	$43.10	$117.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.11 / $94.82 / $235.44	Professional	TC	$47.11	$94.82	$235.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $158.37 / $224.36	Professional		$110.86	$158.37	$224.36
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $45.85 / $58.95	Professional	26	$29.65	$45.85	$58.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.20 / $128.65 / $165.40	Professional	TC	$81.20	$128.65	$165.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $125.85 / $256.51	Professional		$91.91	$125.85	$256.51
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $40.00 / $172.99	Professional	26	$27.87	$40.00	$172.99
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.03 / $88.14 / $242.12	Professional	TC	$64.03	$88.14	$242.12
United Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $113.81 / $200.84	Professional		$72.40	$113.81	$200.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $36.82 / $65.31	Professional	26	$19.60	$36.82	$65.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.65 / $84.01 / $174.79	Professional	TC	$48.65	$84.01	$174.79