Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.90 / $57.91 / $81.06	Facility	26	$57.90	$57.91	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $417.58 / $639.32	Professional		$305.66	$417.58	$639.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.53 / $56.95 / $87.06	Professional	26	$46.53	$56.95	$87.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.73 / $361.50 / $529.23	Professional	TC	$256.73	$361.50	$529.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.38 / $386.38 / $473.13	Professional		$386.38	$386.38	$473.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $52.36 / $71.89	Professional	26	$48.96	$52.36	$71.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $527.63 / $761.60	Professional		$60.74	$527.63	$761.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.20 / $60.20 / $60.20	Facility	26	$60.20	$60.20	$60.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.14 / $549.26 / $1,102.64	Professional		$225.14	$549.26	$1,102.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $76.95 / $140.88	Professional	26	$41.76	$76.95	$140.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.33 / $486.02 / $971.62	Professional	TC	$190.33	$486.02	$971.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.61 / $696.97 / $903.98	Professional		$533.61	$696.97	$903.98
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $80.80 / $104.91	Professional	26	$62.70	$80.80	$104.91
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $470.90 / $616.17 / $799.07	Professional	TC	$470.90	$616.17	$799.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.27 / $430.54 / $684.93	Professional		$347.27	$430.54	$684.93
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $53.77 / $96.86	Professional	26	$44.51	$53.77	$96.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.70 / $376.77 / $580.23	Professional	TC	$304.70	$376.77	$580.23
United Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $455.58 / $949.00	Professional		$206.48	$455.58	$949.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $64.16 / $110.33	Professional	26	$40.54	$64.16	$110.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.58 / $431.89 / $759.78	Professional	TC	$262.58	$431.89	$759.78