Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.53 / $30.54 / $30.54	Facility	26	$30.53	$30.54	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $62.87 / $88.23	Professional		$52.47	$62.87	$88.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $28.72 / $42.01	Professional	26	$24.65	$28.72	$42.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.52 / $50.31	Professional	TC	$27.81	$34.52	$50.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Professional		$58.39	$58.39	$58.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $28.12 / $28.12	Professional	26	$28.12	$28.12	$28.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $82.21 / $151.22	Professional		$62.61	$82.21	$151.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $37.35 / $62.00	Professional	26	$28.09	$37.35	$62.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $44.72 / $85.89	Professional	TC	$34.54	$44.72	$85.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $87.90 / $124.65	Professional		$64.84	$87.90	$124.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $35.72 / $50.65	Professional	26	$26.35	$35.72	$50.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.77 / $52.18 / $73.98	Professional	TC	$42.77	$52.18	$73.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.99 / $92.23	Professional		$36.02	$51.99	$92.23
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $26.12 / $55.09	Professional	26	$22.20	$26.12	$55.09
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $30.59 / $63.90	Professional	TC	$24.74	$30.59	$63.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $68.31 / $140.62	Professional		$46.32	$68.31	$140.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $29.23 / $53.10	Professional	26	$19.25	$29.23	$53.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.95 / $34.86 / $65.97	Professional	TC	$23.95	$34.86	$65.97