Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.50 / $13.15	Facility	26	$10.96	$12.50	$13.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $10.11 / $22.90	Professional	26	$8.67	$10.11	$22.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $16.07 / $33.03	Professional	TC	$13.29	$16.07	$33.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $12.18 / $24.57	Professional	26	$9.74	$12.18	$24.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $15.88 / $39.04	Professional	TC	$15.51	$15.88	$39.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $28.15 / $42.13	Professional	26	$21.57	$28.15	$42.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.09 / $42.85 / $61.87	Professional	TC	$32.09	$42.85	$61.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $29.14 / $42.00	Professional	26	$20.00	$29.14	$42.00
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $43.67 / $62.95	Professional	TC	$29.11	$43.67	$62.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $24.28 / $36.42	Professional	26	$24.28	$24.28	$36.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $36.39 / $54.59	Professional	TC	$36.39	$36.39	$54.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $25.03 / $40.21	Professional	26	$15.80	$25.03	$40.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $34.86 / $58.95	Professional	TC	$23.37	$34.86	$58.95