Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $34.17 / $50.76	Professional		$25.80	$34.17	$50.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $14.98 / $20.99	Professional	26	$12.44	$14.98	$20.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.22 / $18.54 / $33.02	Professional	TC	$13.22	$18.54	$33.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $44.65 / $77.97	Professional		$19.92	$44.65	$77.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $18.07 / $32.25	Professional	26	$9.03	$18.07	$32.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.88 / $26.18 / $41.48	Professional	TC	$10.88	$26.18	$41.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $39.86 / $50.37	Professional		$38.83	$39.86	$50.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $18.02 / $22.91	Professional	26	$17.75	$18.02	$22.91
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $21.84 / $27.47	Professional	TC	$20.91	$21.84	$27.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $116.54 / $116.54	Facility		$116.54	$116.54	$116.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $28.22 / $33.20	Professional		$21.33	$28.22	$33.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $14.98 / $17.39	Professional	26	$12.73	$14.98	$17.39
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.42 / $16.96 / $32.84	Professional	TC	$14.42	$16.96	$32.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $28.50 / $49.01	Professional		$18.86	$28.50	$49.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.88 / $21.95	Professional	26	$8.69	$10.88	$21.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $14.65 / $29.60	Professional	TC	$10.23	$14.65	$29.60