Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $144.54	Facility	26	$120.23	$120.23	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,548.82	Professional		$263.03	$426.58	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $316.23	Professional	26	$72.44	$117.49	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $295.12 / $549.54	Professional	TC	$181.97	$295.12	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $478.63	Professional		$245.47	$295.12	$478.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $117.49	Professional	26	$56.23	$67.61	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $218.78 / $426.58	Professional	TC	$177.83	$218.78	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $741.31	Professional		$251.19	$467.74	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $138.04	Professional	26	$47.86	$75.86	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $346.74 / $660.69	Professional	TC	$181.97	$346.74	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $316.23 / $467.74	Professional		$5.62	$316.23	$467.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.07 / $81.28 / $109.65	Professional	26	$1.07	$81.28	$109.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $371.54	Professional	TC	$138.04	$245.47	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $371.54	Professional		$5.62	$5.62	$371.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.07 / $1.07 / $102.33	Professional	26	$1.07	$1.07	$102.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $263.03 / $275.42	Professional	TC	$263.03	$263.03	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $245.47	Professional		$239.88	$245.47	$245.47
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $177.83 / $177.83	Professional	TC	$173.78	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $691.83	Professional		$239.88	$380.19	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $114.82	Professional	26	$43.65	$66.07	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $302.00 / $630.96	Professional	TC	$169.82	$302.00	$630.96