Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.46 / $25.47 / $25.47	Facility	26	$25.46	$25.47	$25.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $44.71 / $75.20	Professional		$31.55	$44.71	$75.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $21.35 / $32.45	Professional	26	$17.89	$21.35	$32.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $19.38 / $39.36	Professional	TC	$13.19	$19.38	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $61.35 / $121.04	Professional		$41.26	$61.35	$121.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $27.56 / $59.36	Professional	26	$17.39	$27.56	$59.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $35.40 / $65.13	Professional	TC	$18.55	$35.40	$65.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $72.90 / $149.99	Professional		$54.74	$72.90	$149.99
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $25.18 / $51.51	Professional	26	$18.80	$25.18	$51.51
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.94 / $47.72 / $98.48	Professional	TC	$35.94	$47.72	$98.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $35.90 / $64.05	Professional		$23.02	$35.90	$64.05
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $17.42 / $34.52	Professional	26	$14.43	$17.42	$34.52
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $24.82 / $42.64	Professional	TC	$20.07	$24.82	$42.64
United Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $45.15 / $83.71	Professional		$33.72	$45.15	$83.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $20.19 / $41.60	Professional	26	$12.66	$20.19	$41.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.43 / $26.51 / $49.18	Professional	TC	$15.43	$26.51	$49.18