Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $433.12 / $518.52	Professional		$261.86	$433.12	$518.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $46.87 / $55.80	Professional	26	$27.18	$46.87	$55.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.68 / $386.24 / $467.01	Professional	TC	$234.68	$386.24	$467.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $216.72 / $719.77	Professional		$213.37	$216.72	$719.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $20.88 / $81.43	Professional	26	$20.88	$20.88	$81.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $195.84 / $638.33	Professional	TC	$195.84	$195.84	$638.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.87 / $33.89 / $62.77	Facility	26	$31.87	$33.89	$62.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $222.27 / $650.91	Professional		$209.42	$222.27	$650.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $24.95 / $81.42	Professional	26	$23.41	$24.95	$81.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.03 / $198.01 / $576.96	Professional	TC	$186.03	$198.01	$576.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $413.63 / $657.86	Professional		$132.44	$413.63	$657.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $47.60 / $75.70	Professional	26	$11.34	$47.60	$75.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $121.10 / $366.04 / $582.17	Professional	TC	$121.10	$366.04	$582.17
United Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $335.13 / $720.64	Professional		$257.87	$335.13	$720.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.52 / $31.15 / $81.42	Professional	26	$30.52	$31.15	$81.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.72 / $290.58 / $639.22	Professional	TC	$226.72	$290.58	$639.22