Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.45 / $17.45 / $24.42	Facility	26	$17.45	$17.45	$24.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $55.41 / $67.67	Professional		$45.13	$55.41	$67.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $16.43 / $20.80	Professional	26	$13.12	$16.43	$20.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $39.60 / $51.02	Professional	TC	$30.07	$39.60	$51.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $73.64 / $160.41	Professional		$49.35	$73.64	$160.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $21.11 / $45.26	Professional	26	$14.05	$21.11	$45.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $52.98 / $118.12	Professional	TC	$35.27	$52.98	$118.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $62.79 / $129.44	Professional		$47.24	$62.79	$129.44
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.73 / $40.52	Professional	26	$14.79	$19.73	$40.52
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.45 / $43.05 / $88.91	Professional	TC	$32.45	$43.05	$88.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $51.16 / $85.87	Professional		$41.68	$51.16	$85.87
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $14.08 / $39.92	Professional	26	$11.68	$14.08	$39.92
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $37.09 / $65.34	Professional	TC	$30.00	$37.09	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $60.87 / $104.20	Professional		$33.54	$60.87	$104.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $16.63 / $32.06	Professional	26	$10.15	$16.63	$32.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $43.50 / $84.45	Professional	TC	$22.30	$43.50	$84.45