Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.78 / $61.79 / $61.79	Facility	26	$61.78	$61.79	$61.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $92.94 / $157.72	Professional		$70.28	$92.94	$157.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $61.78 / $96.43	Professional	26	$48.82	$61.78	$96.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $31.15 / $54.05	Professional	TC	$21.46	$31.15	$54.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $124.42 / $259.92	Professional		$87.86	$124.42	$259.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.08 / $79.20 / $172.72	Professional	26	$54.08	$79.20	$172.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $47.94 / $91.30	Professional	TC	$29.42	$47.94	$91.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $144.29 / $296.77	Professional		$108.31	$144.29	$296.77
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.56 / $79.42 / $163.19	Professional	26	$59.56	$79.42	$163.19
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.75 / $64.86 / $133.58	Professional	TC	$48.75	$64.86	$133.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $72.54 / $119.18	Professional		$39.36	$72.54	$119.18
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.30 / $54.47 / $95.90	Professional	26	$46.30	$54.47	$95.90
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.38 / $33.84 / $58.56	Professional	TC	$27.38	$33.84	$58.56
United Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $95.44 / $178.65	Professional		$68.51	$95.44	$178.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.94 / $63.26 / $116.29	Professional	26	$39.94	$63.26	$116.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $34.65 / $67.06	Professional	TC	$23.50	$34.65	$67.06