Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.44 / $15.45 / $24.85	Facility	26	$15.44	$15.45	$24.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $39.95 / $60.29	Professional		$34.61	$39.95	$60.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.67 / $21.79	Professional	26	$12.53	$14.67	$21.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $25.20 / $37.97	Professional	TC	$21.86	$25.20	$37.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $36.31 / $39.29	Professional		$34.35	$36.31	$39.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $12.79 / $14.53	Professional	26	$12.79	$12.79	$14.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $53.30 / $108.03	Professional		$35.94	$53.30	$108.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $51.86 / $90.89	Professional		$39.59	$51.86	$90.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.39 / $18.92 / $32.08	Professional	26	$14.39	$18.92	$32.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $32.61 / $57.89	Professional	TC	$24.73	$32.61	$57.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $54.31 / $77.02	Professional		$40.07	$54.31	$77.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $18.52 / $26.26	Professional	26	$13.66	$18.52	$26.26
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.34 / $35.79 / $50.76	Professional	TC	$29.34	$35.79	$50.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $33.84 / $57.95	Professional		$21.98	$33.84	$57.95
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $15.31 / $36.43	Professional	26	$11.52	$15.31	$36.43
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $32.06 / $63.26	Professional	TC	$19.55	$32.06	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $40.77 / $75.40	Professional		$28.61	$40.77	$75.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $15.39 / $27.54	Professional	26	$9.75	$15.39	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $25.70 / $48.48	Professional	TC	$18.34	$25.70	$48.48