Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.65 / $93.80 / $112.56	Facility	26	$88.65	$93.80	$112.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $155.96 / $857.00	Professional		$146.74	$155.96	$857.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.94 / $58.39 / $298.89	Professional	TC	$52.94	$58.39	$298.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $174.55 / $211.82	Professional		$137.47	$174.55	$211.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.84 / $65.12 / $79.02	Professional	TC	$49.84	$65.12	$79.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $197.05 / $274.22	Professional		$128.65	$197.05	$274.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.01 / $87.32 / $115.54	Professional	TC	$47.01	$87.32	$115.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $171.84 / $239.14	Professional		$1.48	$171.84	$239.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.73 / $107.78 / $157.19	Professional	26	$0.73	$107.78	$157.19
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.49 / $66.73 / $93.42	Professional	TC	$1.49	$66.73	$93.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $140.63 / $214.80	Professional		$1.48	$140.63	$214.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.75 / $80.06 / $83.07	Professional	TC	$0.75	$80.06	$83.07
United Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $174.16 / $287.64	Professional		$128.04	$174.16	$287.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.87 / $61.67 / $102.79	Professional	TC	$42.87	$61.67	$102.79