Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.65 / $39.54 / $47.45	Facility	26	$38.65	$39.54	$47.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $132.40 / $270.77	Professional		$52.52	$132.40	$270.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $39.54 / $152.29	Professional	26	$36.49	$39.54	$152.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $96.76 / $475.35	Professional	TC	$16.03	$96.76	$475.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $81.70 / $160.29	Professional		$67.31	$81.70	$160.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $45.07 / $54.70	Professional	26	$36.83	$45.07	$54.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $27.00 / $115.05	Professional	TC	$22.25	$27.00	$115.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $113.45 / $257.33	Professional		$45.01	$113.45	$257.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $51.60 / $75.40	Professional	26	$33.72	$51.60	$75.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $62.99 / $183.98	Professional	TC	$11.28	$62.99	$183.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $138.84 / $231.86	Professional		$0.86	$138.84	$231.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.42 / $47.11 / $68.70	Professional	26	$0.42	$47.11	$68.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.86 / $96.01 / $166.30	Professional	TC	$0.86	$96.01	$166.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $132.74 / $208.26	Professional		$0.86	$132.74	$208.26
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.42 / $39.26 / $58.89	Professional	26	$0.42	$39.26	$58.89
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.43 / $115.22 / $149.37	Professional	TC	$0.43	$115.22	$149.37
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $123.07 / $227.68	Professional		$67.14	$123.07	$227.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $50.98 / $76.84	Professional	26	$29.84	$50.98	$76.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $89.19 / $152.24	Professional	TC	$16.59	$89.19	$152.24