Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.91 / $57.91 / $81.06	Facility	26	$57.91	$57.91	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $381.95 / $582.29	Professional		$287.98	$381.95	$582.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.33 / $328.17 / $475.85	Professional	TC	$242.33	$328.17	$475.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $357.39 / $357.39	Professional		$357.39	$357.39	$357.39
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 $260.00 / $493.93 / $1,001.31	Professional		$260.00	$493.93	$1,001.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.86 / $438.20 / $873.72	Professional	TC	$222.86	$438.20	$873.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.05 / $644.05 / $835.09	Professional		$493.05	$644.05	$835.09
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $430.34 / $563.26 / $730.18	Professional	TC	$430.34	$563.26	$730.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.37 / $389.90 / $633.60	Professional		$316.37	$389.90	$633.60
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $271.85 / $336.13 / $584.24	Professional	TC	$271.85	$336.13	$584.24
United Facility/Professional Professional Modifier Low / Median / High Price $211.45 / $437.81 / $782.08	Professional		$211.45	$437.81	$782.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.63 / $405.03 / $674.23	Professional	TC	$235.63	$405.03	$674.23