Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.77 / $24.82 / $26.12	Facility	26	$21.77	$24.82	$26.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $33.97 / $86.47	Professional		$29.16	$33.97	$86.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $21.50 / $31.67	Professional	26	$18.69	$21.50	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $12.21 / $54.79	Professional	TC	$9.60	$12.21	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $37.22 / $79.00	Professional		$31.00	$37.22	$79.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $22.57 / $33.77	Professional	26	$17.62	$22.57	$33.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $14.11 / $49.31	Professional	TC	$9.55	$14.11	$49.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $44.27 / $89.19	Professional		$27.14	$44.27	$89.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.69 / $23.58 / $35.93	Professional	26	$17.69	$23.58	$35.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $16.84 / $55.44	Professional	TC	$9.27	$16.84	$55.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $52.37 / $100.00	Professional		$0.25	$52.37	$100.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $21.34 / $33.93	Professional	26	$0.15	$21.34	$33.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $32.04 / $53.51	Professional	TC	$0.10	$32.04	$53.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $50.31 / $78.56	Professional		$0.25	$50.31	$78.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $20.32 / $30.48	Professional	26	$0.15	$20.32	$30.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $32.04 / $48.06	Professional	TC	$0.10	$32.04	$48.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $46.90 / $88.81	Professional		$32.04	$46.90	$88.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $25.79 / $42.17	Professional	26	$19.22	$25.79	$42.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.64 / $24.47 / $48.95	Professional	TC	$10.64	$24.47	$48.95