Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.11 / $46.73	Facility		$7.24	$8.11	$46.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $7.86 / $9.43	Facility	26	$7.39	$7.86	$9.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $13.26 / $66.11	Professional		$11.36	$13.26	$66.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $8.26 / $12.11	Professional	26	$7.42	$8.26	$12.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.71 / $3.89 / $6.50	Professional	TC	$3.71	$3.89	$6.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $14.04 / $437.00	Facility		$11.23	$14.04	$437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $11.90 / $17.64	Professional		$10.17	$11.90	$17.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $8.05 / $12.01	Professional	26	$6.56	$8.05	$12.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $12.97 / $15.26 / $19.03	Professional	50	$12.97	$15.26	$19.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.49 / $3.61 / $5.31	Professional	TC	$3.49	$3.61	$5.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $46.84 / $152.22	Facility		$27.33	$46.84	$152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.14 / $21.79	Professional		$10.16	$15.14	$21.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.46 / $14.78	Professional	26	$7.53	$10.46	$14.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $4.58 / $7.45	Professional	TC	$2.69	$4.58	$7.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $14.38 / $21.57	Professional		$0.05	$14.38	$21.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $9.16 / $13.35	Professional	26	$0.05	$9.16	$13.35
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.96 / $5.54 / $7.33	Professional	TC	$3.96	$5.54	$7.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $10.90 / $17.39	Professional		$0.05	$10.90	$17.39
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $7.63 / $11.45	Professional	26	$0.05	$7.63	$11.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.96 / $3.96 / $5.94	Professional	TC	$3.96	$3.96	$5.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $12.27 / $20.25	Professional		$9.10	$12.27	$20.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $8.31 / $14.70	Professional	26	$6.54	$8.31	$14.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.66 / $3.97 / $7.20	Professional	TC	$2.66	$3.97	$7.20