Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $28.37 / $52.04	Professional		$21.35	$28.37	$52.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $20.03 / $25.10	Professional	26	$18.44	$20.03	$25.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.97 / $29.19	Professional	TC	$3.02	$4.97	$29.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $26.85 / $49.17	Professional		$21.32	$26.85	$49.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $21.52 / $28.09	Professional	26	$17.34	$21.52	$28.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.12 / $5.01 / $9.30	Professional	TC	$3.12	$5.01	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $31.15 / $69.05	Professional		$19.92	$31.15	$69.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.41 / $21.54 / $29.60	Professional	26	$16.41	$21.54	$29.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $8.94 / $40.81	Professional	TC	$2.63	$8.94	$40.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $32.01 / $70.00	Professional		$0.50	$32.01	$70.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $23.48 / $33.95	Professional	26	$0.18	$23.48	$33.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $6.01 / $32.50	Professional	TC	$0.33	$6.01	$32.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $37.57 / $65.56	Professional		$22.32	$37.57	$65.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $21.08 / $40.19	Professional	26	$18.00	$21.08	$40.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.59 / $7.02 / $41.82	Professional	TC	$3.59	$7.02	$41.82