Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $64.14 / $120.61	Professional		$39.59	$64.14	$120.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $25.46 / $77.48	Professional	26	$15.47	$25.46	$77.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $38.96 / $69.52	Professional	TC	$24.12	$38.96	$69.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $29.66 / $111.36	Professional		$29.66	$29.66	$111.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $11.95 / $46.78	Professional	26	$11.95	$11.95	$46.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $17.71 / $64.58	Professional	TC	$17.71	$17.71	$64.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.12 / $19.26 / $35.67	Facility	26	$18.12	$19.26	$35.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $37.70 / $127.46	Professional		$34.26	$37.70	$127.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $13.88 / $46.77	Professional	26	$13.78	$13.88	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.48 / $24.41 / $84.97	Professional	TC	$20.48	$24.41	$84.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $88.27 / $140.40	Professional		$17.92	$88.27	$140.40
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $28.00 / $44.54	Professional	26	$6.57	$28.00	$44.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $60.26 / $95.84	Professional	TC	$11.35	$60.26	$95.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $41.90 / $111.44	Professional		$38.69	$41.90	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $18.05 / $74.54	Professional	26	$16.34	$18.05	$74.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $26.87 / $64.67	Professional	TC	$24.24	$26.87	$64.67