Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.29 / $51.63 / $54.35	Facility	26	$45.29	$51.63	$54.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $151.71 / $739.00	Professional		$125.71	$151.71	$739.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $45.29 / $219.00	Professional	26	$40.18	$45.29	$219.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $106.59 / $397.02	Professional	TC	$85.54	$106.59	$397.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $202.50 / $284.77	Professional		$136.69	$202.50	$284.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $62.47 / $89.01	Professional	26	$42.94	$62.47	$89.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.69 / $140.03 / $204.38	Professional	TC	$93.69	$140.03	$204.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $190.05 / $275.00	Professional		$131.58	$190.05	$275.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.12 / $59.81 / $82.69	Professional	26	$42.12	$59.81	$82.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.53 / $131.10 / $203.00	Professional	TC	$91.53	$131.10	$203.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $158.83 / $241.69	Professional		$2.95	$158.83	$241.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.00 / $49.68 / $75.13	Professional	26	$1.00	$49.68	$75.13
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.95 / $100.18 / $166.57	Professional	TC	$1.95	$100.18	$166.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $130.75 / $207.17	Professional		$2.95	$130.75	$207.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.00 / $42.93 / $64.40	Professional	26	$1.00	$42.93	$64.40
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.95 / $95.18 / $142.77	Professional	TC	$1.95	$95.18	$142.77
United Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $191.99 / $293.47	Professional		$131.66	$191.99	$293.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $58.60 / $87.03	Professional	26	$42.24	$58.60	$87.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.30 / $139.69 / $214.31	Professional	TC	$87.30	$139.69	$214.31