Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $54.97 / $124.64	Professional		$40.90	$54.97	$124.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $20.14 / $164.90	Professional	26	$14.42	$20.14	$164.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $34.82 / $76.34	Professional	TC	$26.47	$34.82	$76.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $120.01	Professional		$32.11	$32.11	$120.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $11.52 / $44.47	Professional	26	$11.52	$11.52	$44.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $20.59 / $75.54	Professional	TC	$20.59	$20.59	$75.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.20 / $18.29 / $33.86	Facility	26	$17.20	$18.29	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $35.24 / $110.14	Professional		$30.06	$35.24	$110.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.92 / $44.47	Professional	26	$10.23	$12.92	$44.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $22.32 / $69.73	Professional	TC	$19.84	$22.32	$69.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $66.62 / $105.96	Professional		$15.69	$66.62	$105.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.36 / $24.91 / $39.61	Professional	26	$5.36	$24.91	$39.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.33 / $41.72 / $66.34	Professional	TC	$10.33	$41.72	$66.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $45.12 / $120.11	Professional		$36.32	$45.12	$120.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $16.88 / $44.46	Professional	26	$12.68	$16.88	$44.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $28.67 / $75.65	Professional	TC	$23.64	$28.67	$75.65