Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.92 / $12.48	Facility	26	$8.91	$8.92	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $34.38 / $53.60	Professional		$25.16	$34.38	$53.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $8.46 / $13.25	Professional	26	$7.25	$8.46	$13.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $25.30 / $39.44	Professional	TC	$17.63	$25.30	$39.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $27.67 / $48.64	Professional		$24.50	$27.67	$48.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.88 / $11.69	Professional	26	$7.03	$8.88	$11.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $41.73 / $83.21	Professional		$27.59	$41.73	$83.21
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.61 / $21.53	Professional	26	$8.22	$11.61	$21.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $45.07 / $82.49	Professional		$30.97	$45.07	$82.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $10.87 / $18.38	Professional	26	$8.19	$10.87	$18.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $34.18 / $59.39	Professional	TC	$22.18	$34.18	$59.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $38.49 / $54.58	Professional		$28.40	$38.49	$54.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.74 / $15.22	Professional	26	$7.92	$10.74	$15.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $27.74 / $39.34	Professional	TC	$22.74	$27.74	$39.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $35.43 / $60.80	Professional		$26.06	$35.43	$60.80
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $8.25 / $36.04	Professional	26	$6.58	$8.25	$36.04
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $29.55 / $50.41	Professional	TC	$22.97	$29.55	$50.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $36.17 / $73.00	Professional		$23.11	$36.17	$73.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $8.68 / $15.80	Professional	26	$5.96	$8.68	$15.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $27.67 / $53.51	Professional	TC	$16.55	$27.67	$53.51