Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $26.64	Facility		$23.78	$23.78	$26.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $3.24 / $3.63	Facility	26	$3.24	$3.24	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $30.44 / $81.00	Professional		$21.72	$30.44	$81.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $3.91 / $14.30	Professional	26	$2.84	$3.91	$14.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.86 / $11.89 / $58.96	Professional	52	$10.86	$11.89	$58.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $25.10 / $47.46	Professional	TC	$18.88	$25.10	$47.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $34.27 / $40.11	Professional		$20.62	$34.27	$40.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.67 / $4.70 / $9.82	Professional	26	$2.67	$4.70	$9.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.22 / $31.83 / $41.38	Professional	50	$27.22	$31.83	$41.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $26.49 / $33.35	Professional	TC	$17.68	$26.49	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $34.67 / $66.95	Professional		$20.76	$34.67	$66.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $5.03 / $14.49	Professional	26	$3.09	$5.03	$14.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $29.78 / $49.91	Professional	TC	$17.62	$29.78	$49.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $28.38 / $39.88	Professional		$0.28	$28.38	$39.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $3.84 / $4.93	Professional	26	$0.13	$3.84	$4.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $24.38 / $33.07	Professional	TC	$0.16	$24.38	$33.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Facility		$43.38	$43.38	$43.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $22.22 / $35.43	Professional		$0.28	$22.22	$35.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $2.95 / $4.43	Professional	26	$0.13	$2.95	$4.43
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $20.67 / $31.01	Professional	TC	$0.16	$20.67	$31.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $33.47 / $54.35	Professional		$21.70	$33.47	$54.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.15 / $4.86 / $13.30	Professional	26	$3.15	$4.86	$13.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $27.66 / $43.45	Professional	TC	$18.55	$27.66	$43.45