Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.06 / $92.06 / $92.06	Facility	26	$92.06	$92.06	$92.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $408.64 / $594.63	Professional		$331.86	$408.64	$594.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.79 / $88.93 / $126.69	Professional	26	$71.79	$88.93	$126.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.50 / $327.10 / $483.35	Professional	TC	$243.50	$327.10	$483.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $462.84 / $797.47	Professional		$266.33	$462.84	$797.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $108.68 / $118.74 / $121.30	Professional	26	$108.68	$118.74	$121.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.18 / $95.18 / $95.18	Facility	26	$95.18	$95.18	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $573.48 / $1,173.39	Professional		$297.29	$573.48	$1,173.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.21 / $121.06 / $216.20	Professional	26	$63.21	$121.06	$216.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.01 / $468.39 / $970.24	Professional	TC	$237.01	$468.39	$970.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.39 / $681.82 / $884.10	Professional		$522.39	$681.82	$884.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $94.80 / $122.19 / $158.62	Professional	26	$94.80	$122.19	$158.62
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $427.57 / $559.63 / $725.48	Professional	TC	$427.57	$559.63	$725.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $403.69 / $705.03	Professional		$328.06	$403.69	$705.03
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $81.09 / $376.41	Professional	26	$67.17	$81.09	$376.41
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.89 / $322.58 / $495.54	Professional	TC	$260.89	$322.58	$495.54
United Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $465.00 / $923.62	Professional		$270.57	$465.00	$923.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $95.98 / $177.08	Professional	26	$62.85	$95.98	$177.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.92 / $379.93 / $738.07	Professional	TC	$251.92	$379.93	$738.07