Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.66 / $170.15	Facility	26	$73.00	$81.66	$170.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.93 / $587.17 / $2,245.57	Professional		$427.93	$587.17	$2,245.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.79 / $140.00 / $508.16	Professional	26	$88.79	$140.00	$508.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $319.35 / $348.53 / $1,737.41	Professional	TC	$319.35	$348.53	$1,737.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.96 / $419.98 / $572.33	Professional		$334.96	$419.98	$572.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $80.03 / $131.63	Professional	26	$80.01	$80.03	$131.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $481.92 / $566.97 / $1,095.63	Professional	50	$481.92	$566.97	$1,095.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.95 / $325.33 / $453.28	Professional	TC	$254.95	$325.33	$453.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $538.79 / $833.42	Professional		$344.13	$538.79	$833.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.22 / $109.84 / $159.51	Professional	26	$71.22	$109.84	$159.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.77 / $418.74 / $685.81	Professional	TC	$260.77	$418.74	$685.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $471.51 / $606.22	Professional		$5.27	$471.51	$606.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $106.91 / $143.91	Professional	26	$0.99	$106.91	$143.91
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 / $336.79 / $505.19	Professional		$5.27	$336.79	$505.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $82.24 / $123.36	Professional	26	$0.99	$82.24	$123.36
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 $333.75 / $445.26 / $739.83	Professional		$333.75	$445.26	$739.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.25 / $83.92 / $168.41	Professional	26	$66.25	$83.92	$168.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.51 / $370.03 / $591.36	Professional	TC	$255.51	$370.03	$591.36