Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $28.88 / $34.65	Facility	26	$26.65	$28.88	$34.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $128.83 / $714.43	Professional		$90.73	$128.83	$714.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $28.84 / $165.93	Professional	26	$24.26	$28.84	$165.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $99.99 / $548.49	Professional	TC	$66.45	$99.99	$548.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $104.84 / $163.00	Professional		$90.11	$104.84	$163.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $26.67 / $35.95	Professional	26	$25.61	$26.67	$35.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.81 / $72.05 / $125.19	Professional	TC	$63.81	$72.05	$125.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $141.36 / $241.45	Professional		$89.56	$141.36	$241.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $34.38 / $53.29	Professional	26	$23.25	$34.38	$53.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.31 / $104.72 / $188.16	Professional	TC	$66.31	$104.72	$188.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $146.41 / $212.96	Professional		$0.86	$146.41	$212.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $35.22 / $45.09	Professional	26	$0.32	$35.22	$45.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $115.42 / $167.89	Professional	TC	$0.54	$115.42	$167.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $120.72 / $199.65	Professional		$0.86	$120.72	$199.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $28.18 / $42.27	Professional	26	$0.32	$28.18	$42.27
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $104.93 / $157.40	Professional	TC	$0.54	$104.93	$157.40
United Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $125.23 / $204.73	Professional		$89.02	$125.23	$204.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $30.32 / $57.13	Professional	26	$22.37	$30.32	$57.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.69 / $94.91 / $156.60	Professional	TC	$61.69	$94.91	$156.60