Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.50 / $15.50 / $15.50	Facility	26	$15.50	$15.50	$15.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $30.06 / $58.13	Professional		$23.85	$30.06	$58.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.38 / $22.45	Professional	26	$12.88	$15.38	$22.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.97 / $14.69 / $38.97	Professional	TC	$10.97	$14.69	$38.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $51.18 / $100.60	Professional		$30.95	$51.18	$100.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $20.69 / $45.66	Professional	26	$14.44	$20.69	$45.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.34 / $32.19 / $64.45	Professional	TC	$14.34	$32.19	$64.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $67.51 / $139.11	Professional		$50.77	$67.51	$139.11
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $20.84 / $42.77	Professional	26	$15.61	$20.84	$42.77
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $46.68 / $96.34	Professional	TC	$35.15	$46.68	$96.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $30.51 / $59.16	Professional		$14.48	$30.51	$59.16
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $14.32 / $29.98	Professional	26	$12.00	$14.32	$29.98
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $31.88 / $39.65	Professional	TC	$21.40	$31.88	$39.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $38.54 / $78.61	Professional		$22.87	$38.54	$78.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $16.64 / $31.12	Professional	26	$10.01	$16.64	$31.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.18 / $25.89 / $49.91	Professional	TC	$11.18	$25.89	$49.91