Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.33 / $169.48	Facility	26	$73.00	$81.33	$169.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.99 / $589.39 / $2,241.55	Professional		$429.99	$589.39	$2,241.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.29 / $140.00 / $502.10	Professional	26	$89.29	$140.00	$502.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $322.95 / $368.50 / $1,739.50	Professional	TC	$322.95	$368.50	$1,739.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.23 / $419.61 / $574.50	Professional		$336.23	$419.61	$574.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $79.69 / $131.12	Professional	26	$79.06	$79.69	$131.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.54 / $326.08 / $453.28	Professional	TC	$256.54	$326.08	$453.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.89 / $538.33 / $852.31	Professional		$328.89	$538.33	$852.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $109.50 / $158.88	Professional	26	$70.62	$109.50	$158.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.67 / $419.69 / $713.45	Professional	TC	$262.67	$419.69	$713.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $470.26 / $604.62	Professional		$5.27	$470.26	$604.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $105.76 / $142.36	Professional	26	$0.99	$105.76	$142.36
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $366.54 / $500.00	Professional	TC	$4.28	$366.54	$500.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $335.90 / $503.85	Professional		$5.27	$335.90	$503.85
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $81.34 / $122.03	Professional	26	$0.99	$81.34	$122.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $254.54 / $381.81	Professional	TC	$4.28	$254.54	$381.81
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $446.20 / $738.47	Professional		$333.14	$446.20	$738.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.80 / $80.72 / $165.53	Professional	26	$64.80	$80.72	$165.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.82 / $335.69 / $567.10	Professional	TC	$255.82	$335.69	$567.10