Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $54.63 / $63.66	Professional		$43.59	$54.63	$63.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $19.25 / $29.70	Professional	26	$12.82	$19.25	$29.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.03 / $35.22 / $41.10	Professional	TC	$29.03	$35.22	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $64.25 / $124.68	Professional		$34.59	$64.25	$124.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $21.74 / $40.78	Professional	26	$11.36	$21.74	$40.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $43.10 / $83.90	Professional	TC	$22.33	$43.10	$83.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $69.40 / $97.96	Professional		$48.58	$69.40	$97.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $24.99 / $34.61	Professional	26	$17.48	$24.99	$34.61
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $44.41 / $63.36	Professional	TC	$31.09	$44.41	$63.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $60.35 / $109.92	Professional		$49.25	$60.35	$109.92
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $22.29 / $64.63	Professional	26	$17.82	$22.29	$64.63
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $45.83 / $86.21	Professional	TC	$33.47	$45.83	$86.21
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.25 / $96.99	Professional		$31.62	$57.25	$96.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $22.45 / $33.75	Professional	26	$10.55	$22.45	$33.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $42.53 / $63.32	Professional	TC	$20.68	$42.53	$63.32