Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $126.70 / $179.40	Professional		$80.62	$126.70	$179.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.19 / $81.98 / $163.11	Professional	26	$68.19	$81.98	$163.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $53.71 / $77.93	Professional	TC	$16.11	$53.71	$77.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $54.87 / $188.21	Professional		$54.87	$54.87	$188.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $36.58 / $145.55	Professional	26	$36.58	$36.58	$145.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.33 / $42.68	Professional	TC	$16.60	$22.33	$42.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.56 / $61.20 / $113.34	Facility	26	$57.56	$61.20	$113.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $71.23 / $193.71	Professional		$57.44	$71.23	$193.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $43.71 / $145.51	Professional	26	$41.35	$43.71	$145.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $29.56 / $50.37	Professional	TC	$13.73	$29.56	$50.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $118.13 / $187.88	Professional		$32.95	$118.13	$187.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $86.94 / $138.28	Professional	26	$19.01	$86.94	$138.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $31.19 / $49.60	Professional	TC	$15.49	$31.19	$49.60
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $84.43 / $188.24	Professional		$70.59	$84.43	$188.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $54.57 / $145.52	Professional	26	$48.81	$54.57	$145.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $26.70 / $42.72	Professional	TC	$16.02	$26.70	$42.72