Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $98.85 / $140.94	Professional		$78.27	$98.85	$140.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $53.23 / $74.23	Professional	TC	$40.58	$53.23	$74.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.00 / $53.00 / $53.00	Facility	26	$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $130.54 / $250.35	Professional		$74.95	$130.54	$250.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.00 / $68.70 / $137.72	Professional	TC	$35.00	$68.70	$137.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $133.19 / $175.00	Professional		$103.05	$133.19	$175.00
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.61 / $68.43 / $89.44	Professional	TC	$52.61	$68.43	$89.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $80.56 / $136.57	Professional		$53.93	$80.56	$136.57
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $50.12 / $84.26	Professional	TC	$40.54	$50.12	$84.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $109.98 / $194.32	Professional		$63.18	$109.98	$194.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.28 / $57.47 / $110.47	Professional	TC	$32.28	$57.47	$110.47