Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.93 / $44.94 / $62.91	Facility	26	$44.93	$44.94	$62.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $70.77 / $124.56	Professional		$50.34	$70.77	$124.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $42.53 / $61.61	Professional	26	$32.70	$42.53	$61.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $27.10 / $52.97	Professional	TC	$17.64	$27.10	$52.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $126.75	Professional		$40.39	$40.39	$126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $98.68 / $192.96	Professional		$66.95	$98.68	$192.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $53.84 / $116.01	Professional	26	$36.29	$53.84	$116.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $47.36 / $87.56	Professional	TC	$25.27	$47.36	$87.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $116.63 / $239.42	Professional		$87.38	$116.63	$239.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $52.28 / $106.91	Professional	26	$39.02	$52.28	$106.91
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.36 / $64.34 / $132.51	Professional	TC	$48.36	$64.34	$132.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $57.24 / $105.57	Professional		$35.02	$57.24	$105.57
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.92 / $36.08 / $77.31	Professional	26	$29.92	$36.08	$77.31
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $33.47 / $59.12	Professional	TC	$27.08	$33.47	$59.12
United Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $73.62 / $149.87	Professional		$53.83	$73.62	$149.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.29 / $42.19 / $81.56	Professional	26	$26.29	$42.19	$81.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $35.70 / $66.22	Professional	TC	$20.71	$35.70	$66.22