Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $6.97 / $9.75	Facility	26	$6.96	$6.97	$9.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $6.55 / $12.11	Professional	26	$5.20	$6.55	$12.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $21.72 / $34.96	Professional	TC	$17.48	$21.72	$34.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $25.77 / $25.77	Professional	26	$25.77	$25.77	$25.77
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 $80.58 / $118.03 / $255.70	Professional	TC	$80.58	$118.03	$255.70
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 $89.35 / $118.81 / $244.82	Professional	TC	$89.35	$118.81	$244.82
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 $60.97 / $75.95 / $129.47	Professional	TC	$60.97	$75.95	$129.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $19.59 / $23.50	Professional	26	$16.64	$19.59	$23.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.87 / $63.48 / $78.47	Professional	TC	$47.87	$63.48	$78.47