Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.89 / $10.89 / $11.76	Facility	26	$10.89	$10.89	$11.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $39.35 / $199.45	Professional		$28.60	$39.35	$199.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $15.58 / $63.40	Professional	26	$10.06	$15.58	$63.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $22.56 / $38.92	Professional	TC	$18.54	$22.56	$38.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $46.80 / $65.37	Professional		$29.90	$46.80	$65.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $15.43 / $24.06	Professional	26	$10.86	$15.43	$24.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $31.34 / $40.83	Professional	TC	$19.39	$31.34	$40.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $44.50 / $58.67	Professional		$28.72	$44.50	$58.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $16.30 / $22.25	Professional	26	$11.16	$16.30	$22.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $26.67 / $37.88	Professional	TC	$18.07	$26.67	$37.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $43.75 / $56.81	Professional		$0.45	$43.75	$56.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $14.26 / $18.61	Professional	26	$0.45	$14.26	$18.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $28.15 / $37.88	Professional	TC	$0.45	$28.15	$37.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $29.33 / $50.48	Professional		$0.45	$29.33	$50.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $10.97 / $16.46	Professional	26	$0.45	$10.97	$16.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $22.68 / $34.02	Professional	TC	$0.45	$22.68	$34.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $42.72 / $70.48	Professional		$29.93	$42.72	$70.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $18.04 / $27.21	Professional	26	$12.95	$18.04	$27.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $28.42 / $43.62	Professional	TC	$19.98	$28.42	$43.62