Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $25.19 / $25.19	Facility	26	$25.19	$25.19	$25.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.92 / $129.86	Professional		$32.34	$44.92	$129.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $24.63 / $37.29	Professional	26	$17.89	$24.63	$37.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $19.71 / $92.62	Professional	TC	$14.17	$19.71	$92.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $65.41 / $204.59	Professional		$27.87	$65.41	$204.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.93 / $33.36 / $58.36	Professional	26	$14.93	$33.36	$58.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.69 / $29.45 / $146.52	Professional	TC	$12.69	$29.45	$146.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $58.21 / $75.67	Professional		$44.91	$58.21	$75.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.74 / $39.69	Professional	26	$23.99	$30.74	$39.69
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $27.47 / $35.97	Professional	TC	$20.91	$27.47	$35.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $35.06 / $67.45	Professional		$21.15	$35.06	$67.45
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $22.20 / $41.49	Professional	26	$17.48	$22.20	$41.49
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $17.09 / $30.15	Professional	TC	$13.83	$17.09	$30.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $47.85 / $133.83	Professional		$25.67	$47.85	$133.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $22.74 / $42.40	Professional	26	$13.62	$22.74	$42.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.32 / $19.89 / $66.67	Professional	TC	$11.32	$19.89	$66.67