Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.01 / $9.89 / $11.87	Facility	26	$9.01	$9.89	$11.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $33.09 / $162.00	Professional		$25.76	$33.09	$162.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.09 / $20.86	Professional	26	$8.48	$10.09	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.54 / $42.43	Professional	TC	$17.28	$21.54	$42.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $30.43 / $40.19	Professional		$26.22	$30.43	$40.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.29 / $13.88	Professional	26	$9.19	$11.29	$13.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $20.00 / $27.31	Professional	TC	$16.05	$20.00	$27.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $40.79 / $61.76	Professional		$24.24	$40.79	$61.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $12.41 / $18.01	Professional	26	$8.82	$12.41	$18.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $27.87 / $42.76	Professional	TC	$15.32	$27.87	$42.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $37.40 / $52.84	Professional		$0.54	$37.40	$52.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.70 / $14.88	Professional	26	$0.09	$11.70	$14.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $26.81 / $37.72	Professional	TC	$0.45	$26.81	$37.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $30.95 / $47.46	Professional		$0.54	$30.95	$47.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.30 / $13.95	Professional	26	$0.09	$9.30	$13.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $33.51 / $34.70	Professional	TC	$0.45	$33.51	$34.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $29.41 / $57.33	Professional		$23.25	$29.41	$57.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $9.83 / $19.73	Professional	26	$7.48	$9.83	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.58 / $41.38	Professional	TC	$16.32	$20.58	$41.38