Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.00 / $14.45	Facility	26	$8.91	$10.00	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $147.91	Professional		$25.12	$45.71	$147.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $46.77 / $89.13	Professional	25	$10.96	$46.77	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $34.67	Professional	26	$7.41	$11.22	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.18 / $53.70	Professional	TC	$16.98	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $32.36	Professional		$21.38	$26.30	$32.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.91 / $12.30	Professional	26	$6.46	$8.91	$12.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $39.81 / $91.20	Professional		$13.80	$39.81	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $83.18	Professional		$30.20	$44.67	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $18.62	Professional	26	$8.13	$10.96	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $57.54	Professional	TC	$21.88	$33.11	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $60.26	Professional		$31.62	$41.69	$60.26
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $16.22	Professional	26	$8.51	$11.48	$16.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.90 / $43.65	Professional	TC	$25.70	$30.90	$43.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $77.62	Professional		$30.90	$38.02	$77.62
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $19.95	Professional	26	$6.61	$8.71	$19.95
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $56.23	Professional	TC	$22.91	$29.51	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $66.07	Professional		$23.44	$36.31	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.91 / $15.85	Professional	26	$5.89	$8.91	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $51.29	Professional	TC	$16.98	$27.54	$51.29