Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $117.47 / $632.10	Professional		$77.42	$117.47	$632.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $19.67 / $106.59	Professional	26	$17.14	$19.67	$106.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $97.80 / $525.51	Professional	TC	$60.10	$97.80	$525.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $92.56 / $143.31	Professional		$79.62	$92.56	$143.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.21 / $20.12 / $25.50	Professional	26	$16.21	$20.12	$25.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.50 / $74.55 / $120.95	Professional	TC	$59.50	$74.55	$120.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $115.21 / $212.54	Professional		$65.56	$115.21	$212.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $23.66 / $36.03	Professional	26	$15.39	$23.66	$36.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $87.23 / $168.87	Professional	TC	$50.18	$87.23	$168.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $124.91 / $189.63	Professional		$0.47	$124.91	$189.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $23.08 / $29.84	Professional	26	$0.20	$23.08	$29.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $104.39 / $151.84	Professional	TC	$0.27	$104.39	$151.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $106.27 / $170.33	Professional		$0.47	$106.27	$170.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $18.64 / $27.98	Professional	26	$0.20	$18.64	$27.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $94.90 / $142.35	Professional	TC	$0.27	$94.90	$142.35
United Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $109.59 / $182.21	Professional		$55.14	$109.59	$182.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $19.48 / $35.47	Professional	26	$14.23	$19.48	$35.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $90.93 / $150.05	Professional	TC	$41.50	$90.93	$150.05