Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.86 / $4.08 / $5.33	Facility	26	$3.86	$4.08	$5.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $37.20 / $85.40	Professional		$22.66	$37.20	$85.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.80 / $3.73 / $7.65	Professional	26	$2.80	$3.73	$7.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.92 / $14.03 / $30.28	Professional	52	$10.92	$14.03	$30.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $30.14 / $56.46	Professional	TC	$20.02	$30.14	$56.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $40.85 / $40.85	Professional		$40.85	$40.85	$40.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.91 / $4.95 / $5.07	Professional	26	$2.91	$4.95	$5.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $28.96 / $39.52	Professional		$3.26	$28.96	$39.52
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $3.57 / $6.95 / $10.69	Professional	26	$3.57	$6.95	$10.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $44.28 / $127.15	Professional		$24.88	$44.28	$127.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $4.66 / $9.61	Professional	26	$2.93	$4.66	$9.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $47.97 / $141.33	Professional	TC	$22.38	$47.97	$141.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $59.78 / $138.97	Professional		$26.69	$59.78	$138.97
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.19 / $4.34 / $48.12	Professional	26	$3.19	$4.34	$48.12
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $30.65 / $592.38	Professional	TC	$22.90	$30.65	$592.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $24.95 / $90.62	Professional		$20.23	$24.95	$90.62
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.44 / $2.94 / $39.68	Professional	26	$2.44	$2.94	$39.68
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $22.01 / $57.89	Professional	TC	$17.79	$22.01	$57.89
United Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $46.78 / $122.52	Professional		$24.13	$46.78	$122.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.67 / $3.99 / $7.55	Professional	26	$2.67	$3.99	$7.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $30.19 / $102.71	Professional	TC	$19.75	$30.19	$102.71