Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.00 / $31.77 / $38.11	Facility	26	$31.00	$31.77	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $79.14 / $130.90	Professional		$70.69	$79.14	$130.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $31.77 / $118.16	Professional	26	$29.75	$31.77	$118.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.92 / $48.27 / $79.63	Professional	TC	$40.92	$48.27	$79.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $86.46 / $116.27	Professional		$71.12	$86.46	$116.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $34.22 / $45.60	Professional	26	$29.84	$34.22	$45.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $110.24 / $129.69 / $144.10	Professional	50	$110.24	$129.69	$144.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.27 / $53.49 / $67.50	Professional	TC	$41.27	$53.49	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $105.12 / $152.40	Professional		$75.90	$105.12	$152.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $41.64 / $60.83	Professional	26	$28.10	$41.64	$60.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.27 / $64.83 / $101.50	Professional	TC	$43.27	$64.83	$101.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $93.86 / $140.79	Professional		$0.75	$93.86	$140.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.34 / $38.83 / $54.63	Professional	26	$0.34	$38.83	$54.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $57.57 / $79.34	Professional	TC	$0.41	$57.57	$79.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $72.03 / $114.65	Professional		$0.75	$72.03	$114.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.34 / $32.36 / $48.54	Professional	26	$0.34	$32.36	$48.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $44.08 / $66.12	Professional	TC	$0.41	$44.08	$66.12
United Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $101.41 / $150.91	Professional		$65.92	$101.41	$150.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $36.81 / $60.74	Professional	26	$24.45	$36.81	$60.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.99 / $64.59 / $105.61	Professional	TC	$41.99	$64.59	$105.61