Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.93 / $64.59 / $77.52	Facility	26	$60.93	$64.59	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $358.14 / $1,990.18	Professional		$308.87	$358.14	$1,990.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $97.16 / $380.09	Professional	26	$57.15	$97.16	$380.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.43 / $260.07 / $1,610.09	Professional	TC	$250.43	$260.07	$1,610.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $343.93 / $417.38	Professional		$305.75	$343.93	$417.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.32 / $70.29 / $85.30	Professional	26	$60.32	$70.29	$85.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.42 / $273.64 / $332.08	Professional	TC	$245.42	$273.64	$332.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $509.43 / $602.48	Professional		$303.58	$509.43	$602.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $96.57 / $121.87	Professional	26	$53.37	$96.57	$121.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.21 / $413.10 / $482.60	Professional	TC	$250.21	$413.10	$482.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $373.61 / $495.28	Professional		$2.39	$373.61	$495.28
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $78.59 / $104.99	Professional	26	$0.55	$78.59	$104.99
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $223.62 / $380.16 / $826.18	Professional	TC	$223.62	$380.16	$826.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $296.54 / $467.01	Professional		$2.39	$296.54	$467.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $62.87 / $94.31	Professional	26	$0.55	$62.87	$94.31
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.85 / $372.71 / $1,126.60	Professional	TC	$1.85	$372.71	$1,126.60
United Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $375.08 / $654.83	Professional		$295.41	$375.08	$654.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $75.48 / $129.19	Professional	26	$58.29	$75.48	$129.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $299.58 / $525.63	Professional	TC	$237.12	$299.58	$525.63