Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $27.07 / $66.00	Professional		$20.67	$27.07	$66.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $20.74 / $29.03	Professional	26	$16.79	$20.74	$29.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.88 / $44.19	Professional	TC	$3.02	$4.88	$44.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $37.15 / $57.87	Professional		$21.24	$37.15	$57.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $23.17 / $41.50	Professional	26	$17.13	$23.17	$41.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $5.01 / $35.75	Professional	TC	$2.99	$5.01	$35.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $29.22 / $36.90	Professional		$28.67	$29.22	$36.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $23.68 / $30.22	Professional	26	$23.35	$23.68	$30.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.17 / $5.54 / $6.83	Professional	TC	$5.17	$5.54	$6.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $19.62 / $44.07	Professional		$4.96	$19.62	$44.07
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.21 / $19.57 / $23.78	Professional	26	$16.21	$19.57	$23.78
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.42 / $4.01 / $4.76	Professional	TC	$3.42	$4.01	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $25.03 / $47.70	Professional		$14.87	$25.03	$47.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $18.25 / $33.38	Professional	26	$12.52	$18.25	$33.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.60 / $3.71 / $25.37	Professional	TC	$2.60	$3.71	$25.37