Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.47 / $46.29 / $55.55	Facility	26	$43.47	$46.29	$55.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $241.17 / $1,343.79	Professional		$213.31	$241.17	$1,343.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $68.98 / $272.85	Professional	26	$42.77	$68.98	$272.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.23 / $185.40 / $1,070.94	Professional	TC	$165.23	$185.40	$1,070.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $265.56 / $322.27	Professional		$205.74	$265.56	$322.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.18 / $53.62 / $65.06	Professional	26	$43.18	$53.62	$65.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.56 / $211.94 / $257.20	Professional	TC	$162.56	$211.94	$257.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $353.19 / $405.70	Professional		$208.80	$353.19	$405.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $72.12 / $86.93	Professional	26	$38.97	$72.12	$86.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.83 / $278.45 / $319.81	Professional	TC	$169.83	$278.45	$319.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $248.98 / $346.49	Professional		$1.93	$248.98	$346.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $55.69 / $74.40	Professional	26	$0.50	$55.69	$74.40
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $146.63 / $219.96 / $287.60	Professional	TC	$146.63	$219.96	$287.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $199.82 / $311.22	Professional		$1.93	$199.82	$311.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $44.55 / $66.83	Professional	26	$0.50	$44.55	$66.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.43 / $244.40 / $345.12	Professional	TC	$1.43	$244.40	$345.12
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $301.95 / $442.67	Professional		$199.70	$301.95	$442.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $53.93 / $90.79	Professional	26	$41.39	$53.93	$90.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $190.48 / $349.52	Professional	TC	$157.68	$190.48	$349.52