Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $24.55 / $39.81	Facility	26	$23.99	$24.55	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $138.04	Professional		$30.90	$42.66	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $89.13	Professional	26	$20.42	$30.20	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $28.84	Professional	TC	$10.00	$12.02	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $48.98	Professional		$28.84	$34.67	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $23.44 / $28.18	Professional	26	$21.88	$23.44	$28.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $323.59	Professional		$23.44	$37.15	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	26	$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $79.43	Professional		$34.67	$45.71	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $51.29	Professional	26	$22.39	$29.51	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $15.85 / $28.84	Professional	TC	$12.30	$15.85	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $74.13	Professional		$38.90	$51.29	$74.13
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $43.65	Professional	26	$22.91	$30.90	$43.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.89 / $29.51	Professional	TC	$17.38	$20.89	$29.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $70.79	Professional		$22.39	$33.88	$70.79
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.70 / $46.77	Professional	26	$17.78	$25.70	$46.77
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $11.48 / $25.70	Professional	TC	$9.12	$11.48	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $63.10	Professional		$25.70	$36.31	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.99 / $42.66	Professional	26	$16.22	$23.99	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $12.59 / $21.38	Professional	TC	$8.71	$12.59	$21.38