Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.20 / $43.59 / $52.31	Facility	26	$41.20	$43.59	$52.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $212.24 / $1,319.25	Professional		$201.13	$212.24	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.26 / $168.65 / $1,062.72	Professional	TC	$163.26	$168.65	$1,062.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $264.27 / $320.72	Professional		$199.70	$264.27	$320.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.06 / $213.56 / $259.17	Professional	TC	$159.06	$213.56	$259.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $346.68 / $395.11	Professional		$207.41	$346.68	$395.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.69 / $276.98 / $315.73	Professional	TC	$170.69	$276.98	$315.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $244.16 / $339.79	Professional		$1.83	$244.16	$339.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.46 / $52.76 / $70.48	Professional	26	$0.46	$52.76	$70.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $145.13 / $246.73 / $344.48	Professional	TC	$145.13	$246.73	$344.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $197.56 / $305.20	Professional		$1.83	$197.56	$305.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.37 / $241.89 / $469.74	Professional	TC	$1.37	$241.89	$469.74
United Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $253.89 / $434.52	Professional		$196.02	$253.89	$434.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.76 / $244.35 / $347.48	Professional	TC	$156.76	$244.35	$347.48