Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.12 / $67.98 / $81.58	Facility	26	$64.12	$67.98	$81.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.18 / $493.74 / $2,915.86	Professional		$439.18	$493.74	$2,915.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $74.98 / $271.00	Professional	26	$59.47	$74.98	$271.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $369.68 / $399.20 / $2,508.42	Professional	TC	$369.68	$399.20	$2,508.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.29 / $687.07 / $755.14	Professional		$435.29	$687.07	$755.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.50 / $92.13 / $110.16	Professional	26	$63.50	$92.13	$110.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.79 / $594.94 / $644.98	Professional	TC	$371.79	$594.94	$644.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.52 / $690.09 / $856.66	Professional		$403.52	$690.09	$856.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $101.61 / $128.22	Professional	26	$56.70	$101.61	$128.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.81 / $588.48 / $730.52	Professional	TC	$346.81	$588.48	$730.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $378.79 / $568.19 / $702.87	Professional		$378.79	$568.19	$702.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $87.49 / $108.23	Professional	26	$58.33	$87.49	$108.23
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $338.27 / $543.79 / $826.18	Professional	TC	$338.27	$543.79	$826.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $411.91 / $411.91 / $631.32	Professional		$411.91	$411.91	$631.32
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $97.22 / $97.22	Professional	26	$64.81	$97.22	$97.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $356.07 / $534.11 / $1,126.60	Professional	TC	$356.07	$534.11	$1,126.60
United Facility/Professional Professional Modifier Low / Median / High Price $428.20 / $525.34 / $932.46	Professional		$428.20	$525.34	$932.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $79.09 / $135.19	Professional	26	$62.08	$79.09	$135.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $366.12 / $442.19 / $797.27	Professional	TC	$366.12	$442.19	$797.27