Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $11.14 / $64.06	Professional	26	$10.14	$11.14	$64.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $28.41 / $157.82	Professional	TC	$26.66	$28.41	$157.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $11.02 / $14.10	Professional	26	$10.16	$11.02	$14.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $25.84 / $33.06	Professional	TC	$22.62	$25.84	$33.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $13.54 / $20.22	Professional	26	$8.65	$13.54	$20.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $31.09 / $51.30	Professional	TC	$20.73	$31.09	$51.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $12.88 / $16.48	Professional	26	$0.09	$12.88	$16.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $32.95 / $42.75	Professional	TC	$0.18	$32.95	$42.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.30 / $15.45	Professional	26	$0.09	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $26.36 / $39.54	Professional	TC	$0.18	$26.36	$39.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.55 / $19.76	Professional	26	$8.67	$11.55	$19.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $27.43 / $49.92	Professional	TC	$19.71	$27.43	$49.92