Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.39 / $37.39 / $37.39	Facility	26	$37.39	$37.39	$37.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $59.89 / $105.05	Professional		$42.93	$59.89	$105.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $34.65 / $50.60	Professional	26	$27.19	$34.65	$50.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $23.19 / $45.30	Professional	TC	$15.74	$23.19	$45.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $84.10 / $166.06	Professional		$56.52	$84.10	$166.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $45.34 / $96.51	Professional	26	$30.13	$45.34	$96.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.72 / $40.72 / $75.33	Professional	TC	$21.72	$40.72	$75.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $100.05 / $205.75	Professional		$75.09	$100.05	$205.75
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.33 / $44.55 / $91.32	Professional	26	$33.33	$44.55	$91.32
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.76 / $55.51 / $114.42	Professional	TC	$41.76	$55.51	$114.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $48.32 / $79.40	Professional		$26.19	$48.32	$79.40
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $30.19 / $53.16	Professional	26	$25.66	$30.19	$53.16
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $28.48 / $51.41	Professional	TC	$23.29	$28.48	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $62.82 / $120.23	Professional		$44.34	$62.82	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $33.86 / $67.95	Professional	26	$21.91	$33.86	$67.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $31.02 / $57.05	Professional	TC	$17.89	$31.02	$57.05