Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $58.29 / $81.22	Professional		$43.47	$58.29	$81.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $34.82 / $48.63	Professional	26	$26.26	$34.82	$48.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.37 / $35.88	Professional	TC	$17.78	$24.37	$35.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $69.91 / $96.25	Professional		$57.83	$69.91	$96.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $67.70 / $132.79	Professional		$37.22	$67.70	$132.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $38.83 / $75.94	Professional	26	$21.10	$38.83	$75.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $27.31 / $56.99	Professional	TC	$16.00	$27.31	$56.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $75.17 / $95.78	Professional		$73.61	$75.17	$95.78
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $41.51 / $53.25	Professional	26	$40.96	$41.51	$53.25
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.33 / $33.65 / $42.52	Professional	TC	$32.33	$33.65	$42.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $41.81 / $62.13	Professional		$30.53	$41.81	$62.13
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $34.94 / $50.91	Professional	26	$29.70	$34.94	$50.91
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $24.95 / $30.51	Professional	TC	$21.21	$24.95	$30.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $38.76 / $87.79	Professional		$32.40	$38.76	$87.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $25.26 / $61.05	Professional	26	$20.16	$25.26	$61.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.12 / $18.07 / $42.46	Professional	TC	$12.12	$18.07	$42.46