Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.95 / $11.57 / $13.88	Facility	26	$10.95	$11.57	$13.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $67.66 / $289.00	Professional		$45.98	$67.66	$289.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.76 / $68.00	Professional	26	$10.61	$12.76	$68.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $42.93 / $84.70	Professional	TC	$33.15	$42.93	$84.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $49.24 / $64.51	Professional		$43.60	$49.24	$64.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $12.96 / $16.00	Professional	26	$10.79	$12.96	$16.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.13 / $37.00 / $50.93	Professional	TC	$32.13	$37.00	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $59.82 / $100.18	Professional		$40.82	$59.82	$100.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $14.88 / $21.47	Professional	26	$10.03	$14.88	$21.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $45.91 / $78.75	Professional	TC	$31.59	$45.91	$78.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $64.04 / $89.13	Professional		$0.36	$64.04	$89.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $14.13 / $18.80	Professional	26	$0.13	$14.13	$18.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $50.03 / $67.31	Professional	TC	$0.23	$50.03	$67.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $51.33 / $80.06	Professional		$0.36	$51.33	$80.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $11.30 / $16.95	Professional	26	$0.13	$11.30	$16.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $42.07 / $63.11	Professional	TC	$0.23	$42.07	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.33 / $93.49	Professional		$37.04	$52.33	$93.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $12.63 / $22.05	Professional	26	$9.06	$12.63	$22.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $39.70 / $70.68	Professional	TC	$27.42	$39.70	$70.68