Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.89 / $87.66 / $105.19	Facility	26	$69.89	$87.66	$105.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $567.14 / $2,340.00	Professional		$342.85	$567.14	$2,340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $110.72 / $435.72	Professional	26	$68.56	$110.72	$435.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $410.21 / $2,205.51	Professional	TC	$274.27	$410.21	$2,205.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.60 / $471.60 / $572.32	Professional		$395.60	$471.60	$572.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.89 / $83.10 / $100.85	Professional	26	$68.89	$83.10	$100.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.70 / $388.50 / $471.47	Professional	TC	$326.70	$388.50	$471.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.75 / $692.68 / $779.27	Professional		$627.75	$692.68	$779.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $114.23 / $139.78	Professional	26	$63.97	$114.23	$139.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $517.22 / $573.09 / $642.07	Professional	TC	$517.22	$573.09	$642.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $459.72 / $605.29	Professional		$4.05	$459.72	$605.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $88.05 / $117.63	Professional	26	$0.72	$88.05	$117.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $281.83 / $375.19 / $522.14	Professional	TC	$281.83	$375.19	$522.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $376.93 / $574.65	Professional		$4.05	$376.93	$574.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $70.44 / $105.66	Professional	26	$0.72	$70.44	$105.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.33 / $468.99 / $469.74	Professional	TC	$3.33	$468.99	$469.74
United Facility/Professional Professional Modifier Low / Median / High Price $366.42 / $498.05 / $845.64	Professional		$366.42	$498.05	$845.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $98.55 / $146.44	Professional	26	$66.34	$98.55	$146.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.08 / $389.10 / $701.16	Professional	TC	$300.08	$389.10	$701.16