Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $58.56 / $131.36	Professional		$43.56	$58.56	$131.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $21.91 / $47.04	Professional	26	$14.31	$21.91	$47.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $34.72 / $84.32	Professional	TC	$27.87	$34.72	$84.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $26.93 / $111.36	Professional		$26.93	$26.93	$111.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $10.51 / $42.16	Professional	26	$10.51	$10.51	$42.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $16.42 / $69.20	Professional	TC	$16.42	$16.42	$69.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.73 / $17.80 / $32.96	Facility	26	$16.73	$17.80	$32.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $37.54 / $133.75	Professional		$29.82	$37.54	$133.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $12.74 / $42.15	Professional	26	$12.12	$12.74	$42.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $24.80 / $94.94	Professional	TC	$17.68	$24.80	$94.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $86.87 / $138.16	Professional		$14.22	$86.87	$138.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.63 / $25.20 / $40.08	Professional	26	$5.63	$25.20	$40.08
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.60 / $61.67 / $98.08	Professional	TC	$8.60	$61.67	$98.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $41.79 / $111.44	Professional		$33.65	$41.79	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $15.81 / $42.16	Professional	26	$14.30	$15.81	$42.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $25.98 / $69.28	Professional	TC	$19.98	$25.98	$69.28