Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.72 / $31.96	Facility	26	$30.71	$30.72	$31.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $51.99 / $86.58	Professional		$36.67	$51.99	$86.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $27.51 / $41.54	Professional	26	$22.20	$27.51	$41.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $21.35 / $43.74	Professional	TC	$14.46	$21.35	$43.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $74.76 / $144.69	Professional		$49.97	$74.76	$144.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $36.54 / $78.62	Professional	26	$24.58	$36.54	$78.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $39.08 / $72.61	Professional	TC	$20.47	$39.08	$72.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $88.73 / $182.87	Professional		$66.73	$88.73	$182.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.91 / $35.83 / $73.73	Professional	26	$26.91	$35.83	$73.73
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.82 / $52.91 / $109.11	Professional	TC	$39.82	$52.91	$109.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $42.82 / $71.65	Professional		$24.30	$42.82	$71.65
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $24.62 / $43.89	Professional	26	$20.42	$24.62	$43.89
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $27.70 / $48.81	Professional	TC	$22.41	$27.70	$48.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $53.24 / $104.37	Professional		$38.50	$53.24	$104.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $28.60 / $55.44	Professional	26	$17.20	$28.60	$55.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $29.94 / $54.20	Professional	TC	$17.97	$29.94	$54.20