Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $44.67	Professional		$20.89	$25.12	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $25.12	Professional	26	$16.98	$19.95	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $61.66	Professional		$21.38	$40.74	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $41.69	Professional	26	$17.38	$24.55	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $6.31 / $35.48	Professional	TC	$3.47	$6.31	$35.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $37.15	Professional		$28.84	$29.51	$37.15
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.99 / $30.90	Professional	26	$23.44	$23.99	$30.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $5.62 / $7.08	Professional	TC	$5.25	$5.62	$7.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $75.86	Professional		$18.20	$25.70	$75.86
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.38 / $40.74	Professional	26	$16.60	$21.38	$40.74
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $4.57 / $27.54	Professional	TC	$3.55	$4.57	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $47.86	Professional		$16.60	$25.12	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $29.51	Professional	26	$12.88	$18.20	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $4.27 / $26.92	Professional	TC	$2.75	$4.27	$26.92