Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.11 / $10.11 / $10.11	Facility	26	$10.11	$10.11	$10.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $10.11 / $20.09	Professional	26	$8.85	$10.11	$20.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $16.07 / $26.98	Professional	TC	$13.83	$16.07	$26.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.86 / $35.22 / $76.86	Professional	26	$23.86	$35.22	$76.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.51 / $54.95 / $119.02	Professional	TC	$37.51	$54.95	$119.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $35.29 / $72.66	Professional	26	$26.52	$35.29	$72.66
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.76 / $55.51 / $114.42	Professional	TC	$41.76	$55.51	$114.42
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $22.28 / $38.86	Professional	26	$18.38	$22.28	$38.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $35.36 / $61.27	Professional	TC	$30.06	$35.36	$61.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $17.77 / $25.77	Professional	26	$14.01	$17.77	$25.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $28.55 / $40.52	Professional	TC	$21.43	$28.55	$40.52