Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.99 / $15.46 / $21.64	Facility	26	$13.99	$15.46	$21.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $35.25 / $53.43	Professional		$27.76	$35.25	$53.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.66 / $20.26	Professional	26	$9.97	$13.66	$20.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $21.59 / $33.39	Professional	TC	$17.61	$21.59	$33.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $25.86 / $25.86	Professional		$25.86	$25.86	$25.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $17.12 / $17.12	Professional	26	$17.12	$17.12	$17.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $35.04 / $38.52	Professional		$30.07	$35.04	$38.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $45.22 / $76.12	Professional		$27.74	$45.22	$76.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $16.48 / $27.91	Professional	26	$8.88	$16.48	$27.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $27.64 / $50.24	Professional	TC	$18.26	$27.64	$50.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $46.13 / $60.33	Professional		$35.47	$46.13	$60.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $15.03 / $19.64	Professional	26	$11.81	$15.03	$19.64
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $31.10 / $40.69	Professional	TC	$23.67	$31.10	$40.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $36.11 / $55.48	Professional		$23.10	$36.11	$55.48
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $13.01 / $23.52	Professional	26	$10.78	$13.01	$23.52
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $29.47 / $40.65	Professional	TC	$19.64	$29.47	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $37.89 / $71.04	Professional		$25.59	$37.89	$71.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $14.44 / $25.58	Professional	26	$9.05	$14.44	$25.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $24.13 / $45.74	Professional	TC	$16.75	$24.13	$45.74