Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $53.46 / $140.41	Professional		$47.46	$53.46	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $24.87 / $62.84	Professional	26	$14.51	$24.87	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $33.94 / $100.89	Professional	TC	$27.81	$33.94	$100.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $29.66 / $115.97	Professional		$29.66	$29.66	$115.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $10.94 / $43.32	Professional	26	$10.94	$10.94	$43.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $18.72 / $72.66	Professional	TC	$18.72	$18.72	$72.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.97 / $18.05 / $33.42	Facility	26	$16.97	$18.05	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $36.50 / $132.69	Professional		$29.10	$36.50	$132.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $12.91 / $43.30	Professional	26	$12.29	$12.91	$43.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $23.59 / $93.36	Professional	TC	$16.78	$23.59	$93.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $85.46 / $135.91	Professional		$14.95	$85.46	$135.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $25.20 / $40.08	Professional	26	$5.87	$25.20	$40.08
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.09 / $60.26 / $95.84	Professional	TC	$9.09	$60.26	$95.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $43.52 / $116.06	Professional		$30.70	$43.52	$116.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $16.32 / $43.31	Professional	26	$14.50	$16.32	$43.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $27.31 / $72.75	Professional	TC	$18.98	$27.31	$72.75