Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.05 / $85.05 / $105.01	Facility	26	$85.05	$85.05	$105.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $348.06 / $491.71	Professional		$306.00	$348.06	$491.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $91.48 / $125.69	Professional	26	$84.09	$91.48	$125.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.90 / $256.00 / $366.01	Professional	TC	$221.90	$256.00	$366.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.44 / $366.88 / $528.01	Professional		$298.44	$366.88	$528.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.56 / $98.66 / $142.00	Professional	26	$81.56	$98.66	$142.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.18 / $268.20 / $386.01	Professional	TC	$218.18	$268.20	$386.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $343.89 / $571.50	Professional		$165.23	$343.89	$571.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.14 / $97.41 / $149.66	Professional	26	$71.14	$97.41	$149.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.95 / $248.03 / $415.30	Professional	TC	$125.95	$248.03	$415.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $311.05 / $473.34	Professional		$5.20	$311.05	$473.34
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.28 / $95.86 / $145.88	Professional	26	$1.28	$95.86	$145.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $204.67 / $327.45	Professional	TC	$4.32	$204.67	$327.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $268.20 / $405.72	Professional		$3.90	$268.20	$405.72
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.96 / $83.36 / $125.04	Professional	26	$0.96	$83.36	$125.04
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.94 / $187.12 / $280.68	Professional	TC	$2.94	$187.12	$280.68
United Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $401.55 / $545.44	Professional		$288.05	$401.55	$545.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.68 / $106.11 / $148.22	Professional	26	$86.68	$106.11	$148.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.74 / $294.60 / $394.40	Professional	TC	$208.74	$294.60	$394.40