Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.42 / $41.42 / $65.58	Facility	26	$41.42	$41.42	$65.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $278.31 / $392.83	Professional		$234.42	$278.31	$392.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.49 / $38.51 / $48.09	Professional	26	$34.49	$38.51	$48.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.31 / $236.99 / $322.54	Professional	TC	$196.31	$236.99	$322.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $215.15 / $215.15	Professional		$215.15	$215.15	$215.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $36.32	Professional	26	$35.46	$35.46	$36.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $367.62 / $710.55	Professional		$233.98	$367.62	$710.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.47 / $50.63 / $95.14	Professional	26	$31.47	$50.63	$95.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.51 / $316.20 / $615.41	Professional	TC	$202.51	$316.20	$615.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $378.41 / $786.05	Professional		$286.88	$378.41	$786.05
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.36 / $54.05 / $118.81	Professional	26	$43.36	$54.05	$118.81
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $243.52 / $324.36 / $667.24	Professional	TC	$243.52	$324.36	$667.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $309.08 / $460.76	Professional		$224.46	$309.08	$460.76
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $35.08 / $296.89	Professional	26	$29.82	$35.08	$296.89
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.19 / $228.99 / $413.84	Professional	TC	$185.19	$228.99	$413.84
United Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $273.50 / $529.69	Professional		$195.78	$273.50	$529.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $41.41 / $73.87	Professional	26	$27.73	$41.41	$73.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $248.28 / $459.32	Professional	TC	$170.48	$248.28	$459.32