Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $380.19	Professional		$181.97	$223.87	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $131.83	Professional	26	$38.90	$48.98	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $173.78 / $776.25	Professional	TC	$144.54	$173.78	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $316.23	Professional		$141.25	$147.91	$316.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $20.89 / $63.10	Professional	26	$18.62	$20.89	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $125.89 / $257.04	Professional	TC	$123.03	$125.89	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $30.90 / $57.54	Facility	26	$28.84	$30.90	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $457.09	Professional		$102.33	$162.18	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $67.61	Professional	26	$19.50	$26.30	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $128.82 / $398.11	Professional	TC	$79.43	$128.82	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $346.74 / $436.52	Professional		$53.70	$346.74	$436.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $51.29 / $66.07	Professional	26	$11.48	$51.29	$66.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $295.12 / $380.19	Professional	TC	$41.69	$295.12	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $501.19	Professional		$245.47	$269.15	$501.19
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $72.44	Professional	26	$38.90	$39.81	$72.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $229.09 / $426.58	Professional	TC	$208.93	$229.09	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $562.34	Professional		$123.03	$208.93	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $27.54 / $74.13	Professional	26	$25.70	$27.54	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $181.97 / $478.63	Professional	TC	$95.50	$181.97	$478.63