Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.98 / $28.99 / $40.58	Facility	26	$28.98	$28.99	$40.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $54.58 / $82.36	Professional		$40.27	$54.58	$82.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $28.99 / $37.07	Professional	26	$22.95	$28.99	$37.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $23.84 / $31.42	Professional	TC	$16.62	$23.84	$31.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $33.45 / $40.64	Professional		$28.99	$33.45	$40.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $25.49 / $27.04	Professional	26	$22.02	$25.49	$27.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $72.47 / $159.80	Professional		$45.95	$72.47	$159.80
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $25.68 / $62.38 / $96.00	Professional	26	$25.68	$62.38	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $62.63 / $85.31	Professional		$50.84	$62.63	$85.31
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $39.29 / $53.73	Professional	26	$32.34	$39.29	$53.73
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $23.34 / $31.56	Professional	TC	$18.48	$23.34	$31.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $42.96 / $67.87	Professional		$33.10	$42.96	$67.87
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $24.24 / $45.94	Professional	26	$20.60	$24.24	$45.94
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $21.45 / $43.36	Professional	TC	$18.23	$21.45	$43.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $61.53 / $100.65	Professional		$33.46	$61.53	$100.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $34.76 / $53.69	Professional	26	$20.96	$34.76	$53.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $29.16 / $47.99	Professional	TC	$12.47	$29.16	$47.99