Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.29 / $29.97 / $31.55	Facility	26	$26.29	$29.97	$31.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $54.18 / $186.00	Professional		$43.79	$54.18	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $26.29 / $103.00	Professional	26	$23.21	$26.29	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $21.27 / $58.84	Professional	TC	$16.67	$21.27	$58.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $46.32 / $88.57	Professional		$38.97	$46.32	$88.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $28.40 / $42.41	Professional	26	$21.32	$28.40	$42.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.82 / $17.36 / $52.66	Professional	TC	$14.82	$17.36	$52.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $54.88 / $99.94	Professional		$38.06	$54.88	$99.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.44 / $29.93 / $44.69	Professional	26	$22.44	$29.93	$44.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $24.28 / $59.19	Professional	TC	$15.28	$24.28	$59.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $59.33 / $102.64	Professional		$0.35	$59.33	$102.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $26.20 / $41.67	Professional	26	$0.25	$26.20	$41.67
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $34.38 / $57.41	Professional	TC	$0.10	$34.38	$57.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $56.78 / $89.00	Professional		$0.35	$56.78	$89.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $24.95 / $37.43	Professional	26	$0.25	$24.95	$37.43
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $34.38 / $51.57	Professional	TC	$0.10	$34.38	$51.57
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $60.95 / $101.63	Professional		$42.84	$60.95	$101.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $33.36 / $54.01	Professional	26	$23.89	$33.36	$54.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $29.01 / $52.36	Professional	TC	$18.41	$29.01	$52.36