Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $39.89 / $47.87	Facility	26	$38.29	$39.89	$47.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $122.26 / $592.85	Professional		$104.75	$122.26	$592.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $78.23 / $362.53	Professional	TC	$69.45	$78.23	$362.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $111.52 / $170.26	Professional		$80.23	$111.52	$170.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.12 / $72.34 / $109.53	Professional	TC	$44.12	$72.34	$109.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $164.96 / $248.00	Professional		$94.64	$164.96	$248.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.12 / $106.05 / $196.00	Professional	TC	$60.12	$106.05	$196.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $142.96 / $185.66	Professional		$0.93	$142.96	$185.66
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $49.28 / $63.70	Professional	26	$0.38	$49.28	$63.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.55 / $91.21 / $117.51	Professional	TC	$0.55	$91.21	$117.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $104.55 / $164.96	Professional		$0.93	$104.55	$164.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.55 / $70.16 / $105.24	Professional	TC	$0.55	$70.16	$105.24
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $125.61 / $209.37	Professional		$93.60	$125.61	$209.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.29 / $73.09 / $148.71	Professional	TC	$57.29	$73.09	$148.71