Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $100.00	Professional		$40.74	$53.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $56.23	Professional	26	$12.02	$19.05	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $34.67 / $58.88	Professional	TC	$28.84	$34.67	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $123.03	Professional		$34.67	$64.57	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.88 / $40.74	Professional	26	$11.48	$21.88	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $83.18	Professional	TC	$22.39	$40.74	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $97.72	Professional		$47.86	$75.86	$97.72
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.92 / $34.67	Professional	26	$17.38	$26.92	$34.67
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $48.98 / $63.10	Professional	TC	$30.20	$48.98	$63.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $134.90	Professional		$51.29	$72.44	$134.90
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.30 / $46.77	Professional	26	$17.78	$26.30	$46.77
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $91.20	Professional	TC	$33.11	$52.48	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $97.72	Professional		$30.90	$53.70	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.95 / $33.88	Professional	26	$10.47	$19.95	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $63.10	Professional	TC	$19.95	$37.15	$63.10