Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.46 / $150.82 / $180.98	Facility	26	$148.46	$150.82	$180.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $475.77 / $1,961.00	Professional		$317.47	$475.77	$1,961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $150.82 / $872.89	Professional	26	$131.81	$150.82	$872.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $299.48 / $1,500.65	Professional	TC	$185.65	$299.48	$1,500.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.46 / $482.06 / $585.02	Professional		$367.46	$482.06	$585.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.97 / $190.45 / $231.12	Professional	26	$140.97	$190.45	$231.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.72 / $291.61 / $353.90	Professional	TC	$213.72	$291.61	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.67 / $466.20 / $875.95	Professional		$280.67	$466.20	$875.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.37 / $184.28 / $289.50	Professional	26	$117.37	$184.28	$289.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.30 / $288.81 / $555.74	Professional	TC	$163.30	$288.81	$555.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $466.25 / $815.94	Professional		$2.16	$466.25	$815.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.04 / $182.83 / $266.63	Professional	26	$1.04	$182.83	$266.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.24 / $282.50 / $524.20	Professional	TC	$2.24	$282.50	$524.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $449.20 / $699.38	Professional		$2.16	$449.20	$699.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.04 / $152.36 / $228.54	Professional	26	$1.04	$152.36	$228.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $322.38 / $470.84	Professional	TC	$1.12	$322.38	$470.84
United Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $467.54 / $772.49	Professional		$307.35	$467.54	$772.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $119.65 / $196.24 / $290.44	Professional	26	$119.65	$196.24	$290.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.37 / $268.11 / $482.05	Professional	TC	$169.37	$268.11	$482.05