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 / $21.33	Facility	26	$12.96	$12.96	$21.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $41.27 / $59.88	Professional		$35.74	$41.27	$59.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.46 / $16.55	Professional	26	$10.78	$12.46	$16.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $29.45 / $42.23	Professional	TC	$24.95	$29.45	$42.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $57.27 / $95.73	Professional		$43.23	$57.27	$95.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $16.57 / $27.23	Professional	26	$12.51	$16.57	$27.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $40.61 / $69.17	Professional	TC	$30.78	$40.61	$69.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $62.16 / $88.14	Professional		$45.86	$62.16	$88.14
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $15.95 / $22.61	Professional	26	$11.76	$15.95	$22.61
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.88 / $46.21 / $65.53	Professional	TC	$37.88	$46.21	$65.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $39.72 / $69.58	Professional		$28.09	$39.72	$69.58
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $13.68 / $41.31	Professional	26	$9.89	$13.68	$41.31
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $33.82 / $58.47	Professional	TC	$22.72	$33.82	$58.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.41 / $80.53	Professional		$33.04	$43.41	$80.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $12.99 / $23.62	Professional	26	$9.03	$12.99	$23.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $30.88 / $56.34	Professional	TC	$22.81	$30.88	$56.34