Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $125.89 / $186.21	Facility	26	$22.39	$125.89	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $100.00	Professional		$28.84	$52.48	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $51.29	Professional	26	$18.20	$22.39	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $30.90 / $61.66	Professional	TC	$10.00	$30.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $134.90	Professional		$35.48	$58.88	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $29.51 / $66.07	Professional	26	$19.95	$29.51	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $31.62 / $85.11	Professional	TC	$12.59	$31.62	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $104.71	Professional		$61.66	$81.28	$104.71
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $38.90	Professional	26	$22.91	$30.20	$38.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $66.07	Professional	TC	$38.02	$51.29	$66.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $91.20	Professional		$33.88	$47.86	$91.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $54.95	Professional	26	$17.38	$21.88	$54.95
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.70 / $58.88	Professional	TC	$20.42	$25.70	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $91.20	Professional		$27.54	$45.71	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $40.74	Professional	26	$15.14	$22.39	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $25.12 / $50.12	Professional	TC	$10.23	$25.12	$50.12