Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.32 / $136.13 / $163.36	Facility	26	$109.32	$136.13	$163.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.42 / $301.20 / $1,427.00	Professional		$264.42	$301.20	$1,427.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.23 / $138.00 / $678.77	Professional	26	$106.23	$138.00	$678.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.10 / $146.13 / $648.75	Professional	TC	$110.10	$146.13	$648.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $298.54 / $515.97	Professional		$214.72	$298.54	$515.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.36 / $106.99 / $151.02	Professional	26	$102.36	$106.99	$151.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.45 / $194.13 / $384.54	Professional	TC	$103.45	$194.13	$384.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.01 / $487.57 / $807.05	Professional		$347.01	$487.57	$807.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $127.63 / $213.07	Professional	26	$90.00	$127.63	$213.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.24 / $361.03 / $588.40	Professional	TC	$253.24	$361.03	$588.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $282.19 / $377.43	Professional		$2.25	$282.19	$377.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $143.18 / $192.75	Professional	26	$0.63	$143.18	$192.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.62 / $139.01 / $229.48	Professional	TC	$1.62	$139.01	$229.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $217.07 / $403.52	Professional		$2.25	$217.07	$403.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $110.14 / $165.21	Professional	26	$0.63	$110.14	$165.21
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.62 / $89.34 / $160.40	Professional	TC	$1.62	$89.34	$160.40
United Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $421.17 / $812.16	Professional		$320.58	$421.17	$812.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.97 / $111.44 / $223.31	Professional	26	$86.97	$111.44	$223.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.52 / $345.23 / $624.71	Professional	TC	$235.52	$345.23	$624.71