Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.11 / $54.31	Professional		$27.54	$37.11	$54.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $15.62 / $19.32	Professional	26	$13.36	$15.62	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $19.21 / $35.96	Professional	TC	$14.18	$19.21	$35.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $32.17 / $46.92	Professional		$25.09	$32.17	$46.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $15.91 / $20.86	Professional	26	$12.03	$15.91	$20.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.06 / $18.20 / $29.28	Professional	TC	$13.06	$18.20	$29.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $42.20 / $66.66	Professional		$28.43	$42.20	$66.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $17.10 / $24.02	Professional	26	$13.41	$17.10	$24.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.36 / $27.42 / $42.84	Professional	TC	$15.36	$27.42	$42.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $40.38 / $70.00	Professional		$0.56	$40.38	$70.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $18.78 / $27.39	Professional	26	$0.28	$18.78	$27.39
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.30 / $21.60 / $31.50	Professional	TC	$0.30	$21.60	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $45.93 / $64.30	Professional		$29.15	$45.93	$64.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.51 / $29.29	Professional	26	$14.11	$17.51	$29.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $26.56 / $37.99	Professional	TC	$15.04	$26.56	$37.99