Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.19 / $36.70 / $38.63	Facility	26	$32.19	$36.70	$38.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $60.17 / $109.75	Professional		$51.82	$60.17	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $32.64 / $51.19	Professional	26	$28.87	$32.64	$51.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $22.50 / $61.73	Professional	TC	$18.03	$22.50	$61.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $78.30 / $102.09	Professional		$44.04	$78.30	$102.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $37.74 / $53.49	Professional	26	$26.15	$37.74	$53.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.10 / $27.66 / $56.95	Professional	TC	$15.10	$27.66	$56.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $64.28 / $110.70	Professional		$46.36	$64.28	$110.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $36.58 / $54.73	Professional	26	$28.45	$36.58	$54.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.13 / $26.50 / $60.80	Professional	TC	$17.13	$26.50	$60.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $66.68 / $112.58	Professional		$0.45	$66.68	$112.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $32.15 / $51.71	Professional	26	$0.25	$32.15	$51.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $36.04 / $60.20	Professional	TC	$0.20	$36.04	$60.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $64.22 / $100.02	Professional		$0.45	$64.22	$100.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $30.63 / $45.95	Professional	26	$0.25	$30.63	$45.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $36.04 / $54.08	Professional	TC	$0.20	$36.04	$54.08
United Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $70.48 / $116.95	Professional		$50.66	$70.48	$116.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $40.47 / $63.68	Professional	26	$29.44	$40.47	$63.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $28.74 / $53.83	Professional	TC	$19.79	$28.74	$53.83