Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $6.76 / $6.76	Facility	26	$5.01	$6.76	$6.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $45.71	Professional		$12.88	$22.91	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $10.72	Professional	26	$2.00	$3.98	$10.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $17.78 / $31.62	Professional	TC	$10.96	$17.78	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.85	Professional		$11.75	$11.75	$15.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $141.25	Professional		$17.38	$28.18	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $4.37 / $4.37	Facility	26	$4.37	$4.37	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $51.29	Professional		$17.38	$29.51	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $6.17 / $10.23	Professional	26	$3.16	$6.17	$10.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $22.91 / $39.81	Professional	TC	$13.80	$22.91	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $33.88	Professional		$18.20	$23.44	$33.88
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $3.89 / $5.50	Professional	26	$3.16	$3.89	$5.50
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $19.95 / $28.18	Professional	TC	$16.60	$19.95	$28.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $47.86	Professional		$18.20	$22.91	$47.86
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $4.68 / $10.23	Professional	26	$3.72	$4.68	$10.23
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.50 / $40.74	Professional	TC	$15.14	$19.50	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.91 / $43.65	Professional		$13.49	$22.91	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $4.90 / $8.91	Professional	26	$2.24	$4.90	$8.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $18.20 / $34.67	Professional	TC	$10.72	$18.20	$34.67