Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $116.23 / $157.58	Professional		$92.06	$116.23	$157.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $14.24 / $18.05	Professional	26	$13.16	$14.24	$18.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.92 / $100.92 / $122.10	Professional	TC	$78.92	$100.92	$122.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $105.19 / $170.41	Professional		$89.51	$105.19	$170.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.52 / $20.26	Professional	26	$12.50	$15.52	$20.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $92.68 / $150.13	Professional	TC	$71.34	$92.68	$150.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $86.76 / $157.91	Professional		$16.14	$86.76	$157.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $15.72 / $21.00	Professional	26	$11.88	$15.72	$21.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.10 / $82.29 / $140.83	Professional	TC	$8.10	$82.29	$140.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $134.56 / $215.30	Professional		$0.99	$134.56	$215.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $16.76 / $24.47	Professional	26	$0.15	$16.76	$24.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.84 / $119.92 / $191.87	Professional	TC	$0.84	$119.92	$191.87
United Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $108.72 / $211.58	Professional		$83.00	$108.72	$211.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $15.42 / $26.67	Professional	26	$13.19	$15.42	$26.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.98 / $95.20 / $184.95	Professional	TC	$68.98	$95.20	$184.95