Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.20 / $49.25 / $51.84	Facility	26	$43.20	$49.25	$51.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $73.15 / $293.89	Professional		$65.54	$73.15	$293.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.96 / $45.09 / $179.00	Professional	26	$37.96	$45.09	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $27.45 / $65.80	Professional	TC	$21.73	$27.45	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $69.16 / $122.01	Professional		$56.86	$69.16	$122.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $45.57 / $67.84	Professional	26	$27.52	$45.57	$67.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $29.34 / $58.41	Professional	TC	$20.75	$29.34	$58.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $78.40 / $132.59	Professional		$57.67	$78.40	$132.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.68 / $47.80 / $71.70	Professional	26	$36.68	$47.80	$71.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $29.10 / $65.63	Professional	TC	$19.82	$29.10	$65.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $78.65 / $131.35	Professional		$0.57	$78.65	$131.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $42.27 / $67.30	Professional	26	$0.38	$42.27	$67.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $38.39 / $64.11	Professional	TC	$0.20	$38.39	$64.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $75.81 / $117.98	Professional		$0.57	$75.81	$117.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $40.26 / $60.39	Professional	26	$0.38	$40.26	$60.39
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $38.39 / $57.59	Professional	TC	$0.20	$38.39	$57.59
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $85.14 / $137.85	Professional		$51.28	$85.14	$137.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $52.46 / $83.41	Professional	26	$38.75	$52.46	$83.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $33.01 / $61.48	Professional	TC	$23.71	$33.01	$61.48