Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.73 / $27.42 / $32.90	Facility	26	$25.73	$27.42	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $134.28 / $699.66	Professional		$97.57	$134.28	$699.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $27.42 / $155.35	Professional	26	$23.64	$27.42	$155.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $106.86 / $544.29	Professional	TC	$73.93	$106.86	$544.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $107.94 / $160.47	Professional		$88.26	$107.94	$160.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $26.08 / $35.47	Professional	26	$24.07	$26.08	$35.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.18 / $76.76 / $128.69	Professional	TC	$64.18	$76.76	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $142.44 / $249.18	Professional		$93.01	$142.44	$249.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $33.71 / $50.88	Professional	26	$22.38	$33.71	$50.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.63 / $106.56 / $194.17	Professional	TC	$70.63	$106.56	$194.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $154.68 / $215.20	Professional		$0.86	$154.68	$215.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $33.13 / $42.50	Professional	26	$0.32	$33.13	$42.50
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $118.73 / $172.70	Professional	TC	$0.54	$118.73	$172.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $125.30 / $201.75	Professional		$0.86	$125.30	$201.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $26.56 / $39.84	Professional	26	$0.32	$26.56	$39.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $107.94 / $161.91	Professional	TC	$0.54	$107.94	$161.91
United Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $122.34 / $200.00	Professional		$82.13	$122.34	$200.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $28.15 / $52.00	Professional	26	$21.04	$28.15	$52.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.31 / $94.19 / $159.25	Professional	TC	$66.31	$94.19	$159.25