Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.38 / $46.38 / $46.38	Facility	26	$46.38	$46.38	$46.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $343.60 / $492.50	Professional		$279.72	$343.60	$492.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $135.47 / $172.04 / $239.68	Professional	52	$135.47	$172.04	$239.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.33 / $301.02 / $428.38	Professional	TC	$240.33	$301.02	$428.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.05 / $478.94 / $910.49	Professional		$248.05	$478.94	$910.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.57 / $431.89 / $796.07	Professional	TC	$258.57	$431.89	$796.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.74 / $575.52 / $746.77	Professional		$440.74	$575.52	$746.77
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $390.35 / $510.80 / $662.37	Professional	TC	$390.35	$510.80	$662.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.06 / $347.72 / $590.29	Professional		$282.06	$347.72	$590.29
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.49 / $304.77 / $506.75	Professional	TC	$246.49	$304.77	$506.75
United Facility/Professional Professional Modifier Low / Median / High Price $278.55 / $383.14 / $708.13	Professional		$278.55	$383.14	$708.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.88 / $354.58 / $716.66	Professional	TC	$240.88	$354.58	$716.66