Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.37 / $28.43 / $34.11	Facility	26	$26.37	$28.43	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $100.36 / $563.69	Professional		$90.98	$100.36	$563.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.48 / $69.26 / $389.70	Professional	TC	$62.48	$69.26	$389.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $96.30 / $128.79	Professional		$82.35	$96.30	$128.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.73 / $69.53 / $89.05	Professional	TC	$53.73	$69.53	$89.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $121.46 / $184.18	Professional		$75.36	$121.46	$184.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.05 / $83.51 / $138.72	Professional	TC	$47.05	$83.51	$138.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $111.83 / $145.22	Professional		$0.63	$111.83	$145.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.31 / $34.96 / $44.91	Professional	26	$0.31	$34.96	$44.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.32 / $76.86 / $99.81	Professional	TC	$0.32	$76.86	$99.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $85.14 / $129.03	Professional		$0.63	$85.14	$129.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.32 / $59.12 / $88.68	Professional	TC	$0.32	$59.12	$88.68
United Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $99.25 / $183.61	Professional		$79.53	$99.25	$183.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $67.48 / $125.62	Professional	TC	$56.91	$67.48	$125.62