Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.06 / $17.16 / $18.07	Facility	26	$15.06	$17.16	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $54.64 / $66.05	Professional		$38.49	$54.64	$66.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $15.09 / $17.45	Professional	26	$12.55	$15.09	$17.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.49 / $38.79 / $48.60	Professional	TC	$26.49	$38.79	$48.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $55.49 / $81.06	Professional		$41.35	$55.49	$81.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $16.55 / $24.29	Professional	26	$12.22	$16.55	$24.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.57 / $39.04 / $56.81	Professional	TC	$29.57	$39.04	$56.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $60.75 / $88.36	Professional		$45.68	$60.75	$88.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $17.16 / $25.73	Professional	26	$13.29	$17.16	$25.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.33 / $42.80 / $61.26	Professional	TC	$32.33	$42.80	$61.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $48.00 / $89.02	Professional		$0.50	$48.00	$89.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $14.51 / $22.47	Professional	26	$0.10	$14.51	$22.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.40 / $32.03 / $46.71	Professional	TC	$0.40	$32.03	$46.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $40.01 / $60.00	Professional		$0.50	$40.01	$60.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $13.31 / $19.97	Professional	26	$0.10	$13.31	$19.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.40 / $26.69 / $40.04	Professional	TC	$0.40	$26.69	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $65.36 / $103.87	Professional		$46.09	$65.36	$103.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $19.59 / $30.10	Professional	26	$14.00	$19.59	$30.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.86 / $47.35 / $74.16	Professional	TC	$31.86	$47.35	$74.16