Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.09 / $95.09 / $99.65	Facility	26	$95.09	$95.09	$99.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $433.23 / $642.38	Professional		$338.94	$433.23	$642.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $59.50 / $95.09	Professional	26	$48.27	$59.50	$95.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.67 / $372.69 / $543.98	Professional	TC	$290.67	$372.69	$543.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.06 / $641.73 / $1,169.44	Professional		$333.06	$641.73	$1,169.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $88.07 / $158.84	Professional	26	$41.68	$88.07	$158.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.38 / $553.41 / $988.77	Professional	TC	$291.38	$553.41	$988.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $519.88 / $676.68 / $881.42	Professional		$519.88	$676.68	$881.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $81.27 / $105.34	Professional	26	$63.08	$81.27	$105.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $456.79 / $595.42 / $776.08	Professional	TC	$456.79	$595.42	$776.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $415.55 / $785.97	Professional		$333.74	$415.55	$785.97
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $54.32 / $384.04	Professional	26	$45.08	$54.32	$384.04
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.67 / $356.88 / $628.08	Professional	TC	$288.67	$356.88	$628.08
United Facility/Professional Professional Modifier Low / Median / High Price $333.33 / $509.17 / $966.91	Professional		$333.33	$509.17	$966.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.80 / $71.08 / $124.27	Professional	26	$41.80	$71.08	$124.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.50 / $433.53 / $754.86	Professional	TC	$286.50	$433.53	$754.86