Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $79.43 / $79.43	Facility	26	$46.77	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $186.21	Professional		$72.44	$89.13	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $91.20	Professional	26	$38.02	$45.71	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $42.66 / $77.62	Professional	TC	$33.11	$42.66	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $102.33	Professional		$66.07	$85.11	$102.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $208.93	Professional		$64.57	$117.49	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $63.10 / $112.20	Professional	26	$33.88	$63.10	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $58.88 / $109.65	Professional	TC	$26.92	$58.88	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $181.97	Professional		$138.04	$151.36	$181.97
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $70.79 / $87.10	Professional	26	$66.07	$70.79	$87.10
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $79.43 / $95.50	Professional	TC	$72.44	$79.43	$95.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $81.28 / $194.98	Professional		$37.15	$81.28	$194.98
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $109.65	Professional	26	$38.02	$57.54	$109.65
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $43.65 / $112.20	Professional	TC	$34.67	$43.65	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $165.96	Professional		$56.23	$87.10	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $46.77 / $85.11	Professional	26	$31.62	$46.77	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.65 / $81.28	Professional	TC	$25.70	$43.65	$81.28