Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.09 / $73.00 / $114.32	Facility	26	$54.09	$73.00	$114.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.36 / $475.00 / $1,488.13	Professional		$289.36	$475.00	$1,488.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $140.00 / $338.90	Professional	26	$70.95	$140.00	$338.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.41 / $335.00 / $1,149.18	Professional	TC	$217.41	$335.00	$1,149.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $322.75 / $448.51	Professional		$226.06	$322.75	$448.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $53.65 / $88.28	Professional	26	$52.66	$53.65	$88.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.40 / $259.52 / $387.06	Professional	TC	$172.40	$259.52	$387.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $436.33 / $781.22	Professional		$233.94	$436.33	$781.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.39 / $71.40 / $108.18	Professional	26	$47.39	$71.40	$108.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.76 / $356.39 / $657.07	Professional	TC	$177.76	$356.39	$657.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $334.60 / $580.44	Professional		$5.58	$334.60	$580.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $71.15 / $95.78	Professional	26	$1.08	$71.15	$95.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $250.26 / $488.13	Professional	TC	$4.50	$250.26	$488.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $223.76 / $339.12	Professional		$5.58	$223.76	$339.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $54.73 / $82.10	Professional	26	$1.08	$54.73	$82.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $257.02 / $268.14	Professional	TC	$4.50	$257.02	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $425.40 / $676.28	Professional		$221.18	$425.40	$676.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $55.45 / $111.66	Professional	26	$44.74	$55.45	$111.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.02 / $325.10 / $609.39	Professional	TC	$169.02	$325.10	$609.39