Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $41.71	Facility	26	$22.16	$22.16	$41.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $162.68 / $264.31	Professional		$116.68	$162.68	$264.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $22.44 / $40.11	Professional	26	$18.76	$22.44	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.50 / $144.88 / $237.21	Professional	TC	$93.50	$144.88	$237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $196.55 / $374.06	Professional		$120.64	$196.55	$374.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $29.13 / $54.86	Professional	26	$20.02	$29.13	$54.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $157.34 / $307.44	Professional	TC	$96.36	$157.34	$307.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $180.19 / $246.13	Professional		$104.00	$180.19	$246.13
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $33.13 / $70.56	Professional	26	$25.75	$33.13	$70.56
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $116.52 / $155.16 / $319.26	Professional	TC	$116.52	$155.16	$319.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $141.61 / $238.53	Professional		$107.83	$141.61	$238.53
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $22.92 / $143.88	Professional	26	$19.48	$22.92	$143.88
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.35 / $103.94 / $187.85	Professional	TC	$88.35	$103.94	$187.85
United Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $137.88 / $254.47	Professional		$96.85	$137.88	$254.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $25.98 / $45.97	Professional	26	$16.77	$25.98	$45.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.91 / $125.23 / $237.81	Professional	TC	$82.91	$125.23	$237.81