Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.76 / $21.76 / $21.76	Facility	26	$21.76	$21.76	$21.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $33.97 / $75.78	Professional		$27.10	$33.97	$75.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $21.76 / $31.74	Professional	26	$18.35	$21.76	$31.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.74 / $12.26 / $40.96	Professional	TC	$8.74	$12.26	$40.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $58.40 / $115.59	Professional		$35.47	$58.40	$115.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $29.43 / $64.88	Professional	26	$20.29	$29.43	$64.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $30.49 / $67.17	Professional	TC	$12.39	$30.49	$67.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $78.78 / $162.65	Professional		$59.36	$78.78	$162.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $29.59 / $60.99	Professional	26	$22.26	$29.59	$60.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $49.28 / $101.65	Professional	TC	$37.10	$49.28	$101.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $39.29 / $63.30	Professional		$16.80	$39.29	$63.30
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.86 / $20.32 / $36.29	Professional	26	$16.86	$20.32	$36.29
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $24.65 / $44.50	Professional	TC	$20.95	$24.65	$44.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $46.77 / $92.55	Professional		$27.55	$46.77	$92.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $23.61 / $45.96	Professional	26	$14.19	$23.61	$45.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $26.54 / $50.67	Professional	TC	$10.55	$26.54	$50.67