Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $100.00	Professional		$50.12	$53.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.05 / $165.96	Professional	26	$18.20	$19.05	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $35.48 / $63.10	Professional	TC	$30.90	$35.48	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $93.33	Professional		$32.36	$34.67	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.30 / $29.51	Professional	26	$11.48	$12.30	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $21.88 / $63.10	Professional	TC	$20.42	$21.88	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $18.20 / $33.88	Facility	26	$17.38	$18.20	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $109.65	Professional		$30.20	$35.48	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $40.74	Professional	26	$10.23	$12.88	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $22.39 / $69.18	Professional	TC	$19.95	$22.39	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $83.18 / $102.33	Professional		$15.85	$83.18	$102.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $30.90 / $39.81	Professional	26	$5.37	$30.90	$39.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $51.29 / $66.07	Professional	TC	$10.23	$51.29	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $114.82	Professional		$60.26	$63.10	$114.82
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.99 / $43.65	Professional	26	$23.44	$23.99	$43.65
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $39.81 / $70.79	Professional	TC	$36.31	$39.81	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $120.23	Professional		$36.31	$44.67	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.60 / $44.67	Professional	26	$12.59	$16.60	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.18 / $75.86	Professional	TC	$23.44	$28.18	$75.86