Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $61.19 / $94.78	Professional		$48.88	$61.19	$94.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $25.40 / $35.47	Professional	26	$18.96	$25.40	$35.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.83 / $29.19 / $40.25	Professional	52	$23.83	$29.19	$40.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $39.43 / $60.07	Professional	TC	$28.65	$39.43	$60.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $64.93	Professional		$64.93	$64.93	$64.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $77.27 / $169.81	Professional		$62.00	$77.27	$169.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $75.06 / $141.96	Professional		$37.58	$75.06	$141.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $28.13 / $55.47	Professional	26	$15.38	$28.13	$55.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $46.76 / $85.19	Professional	TC	$22.21	$46.76	$85.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $56.00 / $95.64	Professional		$47.60	$56.00	$95.64
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $30.15 / $38.58	Professional	26	$29.74	$30.15	$38.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.35 / $45.08 / $57.07	Professional	TC	$43.35	$45.08	$57.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $53.21 / $62.60	Professional		$30.97	$53.21	$62.60
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $25.47 / $29.89	Professional	26	$21.65	$25.47	$29.89
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $36.04 / $61.89	Professional	TC	$29.47	$36.04	$61.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $47.84 / $106.67	Professional		$35.72	$47.84	$106.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $18.45 / $42.40	Professional	26	$14.61	$18.45	$42.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $29.11 / $50.99	Professional	TC	$21.12	$29.11	$50.99