Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.28 / $45.29 / $45.29	Facility	26	$45.28	$45.29	$45.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $71.98 / $116.31	Professional		$56.23	$71.98	$116.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $44.39 / $61.84	Professional	26	$36.40	$44.39	$61.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $25.84 / $45.30	Professional	TC	$17.64	$25.84	$45.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $92.72 / $207.93	Professional		$67.31	$92.72	$207.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.31 / $56.33 / $125.24	Professional	26	$35.31	$56.33	$125.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $40.72 / $77.73	Professional	TC	$24.36	$40.72	$77.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $106.27 / $219.01	Professional		$79.93	$106.27	$219.01
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.56 / $51.30 / $105.65	Professional	26	$38.56	$51.30	$105.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.37 / $54.99 / $113.35	Professional	TC	$41.37	$54.99	$113.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $52.39 / $88.85	Professional		$31.70	$52.39	$88.85
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $35.09 / $62.90	Professional	26	$29.10	$35.09	$62.90
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $28.79 / $50.07	Professional	TC	$23.29	$28.79	$50.07
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $71.97 / $136.72	Professional		$50.39	$71.97	$136.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $41.01 / $81.52	Professional	26	$25.81	$41.01	$81.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $30.51 / $64.86	Professional	TC	$19.87	$30.51	$64.86