Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.50 / $7.41 / $7.80	Facility	26	$6.50	$7.41	$7.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.50 / $37.53	Professional	26	$5.45	$6.50	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $20.72 / $70.70	Professional	TC	$17.05	$20.72	$70.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $24.57 / $32.64	Professional	26	$12.34	$24.57	$32.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $83.83 / $115.29	Professional	TC	$15.71	$83.83	$115.29
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 $68.95 / $92.03 / $132.87	Professional	TC	$68.95	$92.03	$132.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $29.14 / $42.00	Professional	26	$21.85	$29.14	$42.00
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $94.55 / $131.58	Professional	TC	$36.00	$94.55	$131.58
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 $78.79 / $78.79 / $118.19	Professional	TC	$78.79	$78.79	$118.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $23.50 / $39.36	Professional	26	$15.80	$23.50	$39.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.20 / $79.55 / $126.17	Professional	TC	$50.20	$79.55	$126.17