Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $194.12 / $534.28	Professional		$67.09	$194.12	$534.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $51.39 / $71.55	Professional	26	$18.97	$51.39	$71.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $133.33 / $202.44	Professional	TC	$48.13	$133.33	$202.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $105.65 / $218.86	Professional		$56.81	$105.65	$218.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $24.10 / $57.19	Professional	26	$16.28	$24.10	$57.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.53 / $81.56 / $149.56	Professional	TC	$40.53	$81.56	$149.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.24 / $23.65 / $43.80	Facility	26	$22.24	$23.65	$43.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $138.62 / $221.79	Professional		$57.63	$138.62	$221.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $30.75 / $57.16	Professional	26	$16.91	$30.75	$57.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $107.88 / $172.62	Professional	TC	$40.60	$107.88	$172.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $110.44 / $175.65	Professional		$60.98	$110.44	$175.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $32.56 / $51.79	Professional	26	$13.74	$32.56	$51.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.23 / $77.88 / $123.86	Professional	TC	$47.23	$77.88	$123.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $115.13 / $211.57	Professional		$69.08	$115.13	$211.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $35.72 / $72.69	Professional	26	$21.44	$35.72	$72.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $83.37 / $138.88	Professional	TC	$47.64	$83.37	$138.88