Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $251.19 / $371.54	Facility	26	$48.98	$251.19	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $257.04	Professional		$64.57	$93.33	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $131.83	Professional	26	$38.02	$48.98	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $74.13	Professional	TC	$20.89	$38.90	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $245.47	Professional		$69.18	$102.33	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $131.83	Professional	26	$39.81	$60.26	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $100.00	Professional	TC	$26.30	$43.65	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $165.96	Professional		$91.20	$120.23	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $85.11	Professional	26	$45.71	$60.26	$85.11
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $60.26 / $79.43	Professional	TC	$45.71	$60.26	$79.43
Horizon BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $151.36	Professional		$36.31	$70.79	$151.36
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $57.54 / $112.20	Professional	26	$35.48	$57.54	$112.20
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.11 / $72.44	Professional	TC	$26.30	$33.11	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $141.25	Professional		$56.23	$75.86	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $45.71 / $85.11	Professional	26	$29.51	$45.71	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $61.66	Professional	TC	$21.38	$32.36	$61.66