Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $48.98	Professional		$19.95	$25.70	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $25.12	Professional	26	$16.98	$19.95	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $26.92	Professional	TC	$3.02	$3.98	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $56.23	Professional		$22.91	$30.20	$56.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.91 / $33.88	Professional	26	$18.62	$22.91	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $5.62 / $36.31	Professional	TC	$4.27	$5.62	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $74.13	Professional		$19.05	$30.90	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $38.02	Professional	26	$16.60	$23.44	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $7.76 / $38.02	Professional	TC	$1.32	$7.76	$38.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $29.51 / $67.61	Professional		$0.50	$29.51	$67.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $23.44 / $33.11	Professional	26	$0.18	$23.44	$33.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $5.13 / $43.65	Professional	TC	$0.33	$5.13	$43.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $41.69	Professional		$23.44	$24.55	$41.69
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $20.42 / $33.11	Professional	26	$19.50	$20.42	$33.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $4.27 / $6.92	Professional	TC	$3.89	$4.27	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $67.61	Professional		$22.39	$39.81	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $37.15	Professional	26	$18.20	$21.88	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $7.24 / $41.69	Professional	TC	$3.72	$7.24	$41.69