Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.40 / $73.41 / $73.41	Facility	26	$73.40	$73.41	$73.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $106.21 / $170.31	Professional		$77.76	$106.21	$170.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.44 / $66.70 / $99.54	Professional	26	$53.44	$66.70	$99.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $35.27 / $61.69	Professional	TC	$24.32	$35.27	$61.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Professional		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $135.66 / $286.83	Professional		$99.93	$135.66	$286.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.68 / $88.23 / $188.42	Professional	26	$58.68	$88.23	$188.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $51.95 / $100.22	Professional	TC	$32.60	$51.95	$100.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $155.76 / $320.02	Professional		$116.80	$155.76	$320.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.55 / $86.21 / $176.87	Professional	26	$64.55	$86.21	$176.87
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.24 / $69.53 / $143.13	Professional	TC	$52.24	$69.53	$143.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $78.40 / $141.51	Professional		$41.92	$78.40	$141.51
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $59.08 / $104.09	Professional	26	$48.98	$59.08	$104.09
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $36.36 / $64.94	Professional	TC	$29.42	$36.36	$64.94
United Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $103.36 / $195.96	Professional		$73.95	$103.36	$195.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $68.59 / $132.36	Professional	26	$41.43	$68.59	$132.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.75 / $38.58 / $72.06	Professional	TC	$26.75	$38.58	$72.06