Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.22 / $23.14 / $27.77	Facility	26	$22.22	$23.14	$27.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $143.77 / $757.49	Professional		$130.49	$143.77	$757.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.34 / $120.63 / $621.63	Professional	TC	$108.34	$120.63	$621.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $121.84 / $171.92	Professional		$99.84	$121.84	$171.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.58 / $95.01 / $145.41	Professional	TC	$77.58	$95.01	$145.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $148.22 / $266.79	Professional		$96.46	$148.22	$266.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.83 / $118.82 / $217.57	Professional	TC	$77.83	$118.82	$217.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $158.97 / $231.25	Professional		$0.76	$158.97	$231.25
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $27.53 / $36.70	Professional	26	$0.27	$27.53	$36.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.49 / $133.75 / $192.11	Professional	TC	$0.49	$133.75	$192.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $134.68 / $216.80	Professional		$0.76	$134.68	$216.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.49 / $152.36 / $182.39	Professional	TC	$0.49	$152.36	$182.39
United Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $132.09 / $221.65	Professional		$84.13	$132.09	$221.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.50 / $107.55 / $177.83	Professional	TC	$66.50	$107.55	$177.83