Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.96 / $12.96 / $20.69	Facility	26	$12.96	$12.96	$20.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $44.93 / $66.81	Professional		$37.33	$44.93	$66.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.28 / $18.57	Professional	26	$10.47	$12.28	$18.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $32.79 / $48.42	Professional	TC	$26.86	$32.79	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $45.66 / $80.29	Professional		$41.47	$45.66	$80.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $10.71 / $15.39	Professional	26	$10.27	$10.71	$15.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $63.31 / $233.60	Professional		$12.67	$63.31	$233.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $59.48 / $99.24	Professional		$45.95	$59.48	$99.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $16.45 / $26.88	Professional	26	$12.26	$16.45	$26.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.27 / $43.11 / $72.98	Professional	TC	$33.27	$43.11	$72.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $63.11 / $89.49	Professional		$46.56	$63.11	$89.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $15.47 / $21.94	Professional	26	$11.41	$15.47	$21.94
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $47.64 / $67.56	Professional	TC	$39.04	$47.64	$67.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $44.43 / $72.27	Professional		$28.85	$44.43	$72.27
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $11.27 / $38.46	Professional	26	$9.58	$11.27	$38.46
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $40.79 / $61.74	Professional	TC	$26.61	$40.79	$61.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $45.60 / $85.39	Professional		$33.89	$45.60	$85.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $12.63 / $23.49	Professional	26	$8.67	$12.63	$23.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $35.50 / $62.78	Professional	TC	$24.27	$35.50	$62.78