Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $312.27 / $312.27 / $355.99	Facility	26	$312.27	$312.27	$355.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,133.92 / $1,951.34	Professional		$1,012.82	$1,133.92	$1,951.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $284.62 / $341.57 / $1,429.00	Professional	26	$284.62	$341.57	$1,429.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $815.25 / $1,333.58	Professional	TC	$728.19	$815.25	$1,333.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.28 / $1,430.98 / $1,912.80	Professional		$1,064.28	$1,430.98	$1,912.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $287.55 / $402.14 / $537.54	Professional	26	$287.55	$402.14	$537.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $744.78 / $1,028.83 / $1,375.25	Professional	TC	$744.78	$1,028.83	$1,375.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.45 / $1,150.55 / $1,689.19	Professional		$926.45	$1,150.55	$1,689.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $264.22 / $346.33 / $474.97	Professional	26	$264.22	$346.33	$474.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $662.23 / $804.22 / $1,220.78	Professional	TC	$662.23	$804.22	$1,220.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $1,156.35 / $1,697.64	Professional		$10.55	$1,156.35	$1,697.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.19 / $330.14 / $474.90	Professional	26	$3.19	$330.14	$474.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $905.30 / $2,318.21	Professional	TC	$7.36	$905.30	$2,318.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $957.46 / $1,508.30	Professional		$10.55	$957.46	$1,508.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.19 / $281.29 / $421.94	Professional	26	$3.19	$281.29	$421.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $724.24 / $2,674.86	Professional	TC	$7.36	$724.24	$2,674.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.86 / $1,353.16 / $2,015.37	Professional		$1,091.86	$1,353.16	$2,015.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $308.17 / $417.65 / $567.30	Professional	26	$308.17	$417.65	$567.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $764.74 / $1,024.60 / $1,448.06	Professional	TC	$764.74	$1,024.60	$1,448.06