Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $64.57 / $229.09	Facility	26	$27.54	$64.57	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $158.49	Professional		$40.74	$66.07	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $81.28	Professional	26	$22.91	$30.20	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $33.11 / $61.66	Professional	TC	$15.14	$33.11	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $169.82	Professional		$48.98	$74.13	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $81.28	Professional	26	$24.55	$36.31	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.02 / $91.20	Professional	TC	$20.89	$38.02	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Professional		$69.18	$91.20	$123.03
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $53.70	Professional	26	$28.18	$37.15	$53.70
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $54.95 / $70.79	Professional	TC	$40.74	$54.95	$70.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $114.82	Professional		$40.74	$53.70	$114.82
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.30 / $63.10	Professional	26	$20.89	$26.30	$63.10
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $29.51 / $66.07	Professional	TC	$23.44	$29.51	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $104.71	Professional		$39.81	$53.70	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $28.18 / $53.70	Professional	26	$18.62	$28.18	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $53.70	Professional	TC	$17.38	$28.18	$53.70