Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $184.02 / $357.59	Professional		$92.16	$184.02	$357.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.45 / $27.71 / $47.49	Professional	26	$13.45	$27.71	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.27 / $148.57 / $323.66	Professional	TC	$112.27	$148.57	$323.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $253.81	Professional		$64.54	$64.54	$253.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $20.29 / $44.23	Professional	26	$11.53	$20.29	$44.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $44.25 / $203.81	Professional	TC	$44.25	$44.25	$203.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.28 / $17.30 / $32.06	Facility	26	$16.28	$17.30	$32.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $107.28 / $327.64	Professional		$84.30	$107.28	$327.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $28.10 / $41.57	Professional	26	$12.05	$28.10	$41.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.55 / $95.24 / $290.57	Professional	TC	$58.55	$95.24	$290.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $196.98 / $313.29	Professional		$35.97	$196.98	$313.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $23.09 / $36.72	Professional	26	$11.66	$23.09	$36.72
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.31 / $173.89 / $276.57	Professional	TC	$24.31	$173.89	$276.57
United Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $127.12 / $292.75	Professional		$96.50	$127.12	$292.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $25.98 / $54.09	Professional	26	$15.59	$25.98	$54.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.40 / $141.29 / $350.04	Professional	TC	$63.40	$141.29	$350.04