Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.97 / $28.05 / $31.16	Facility	26	$25.97	$28.05	$31.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $180.90 / $226.98	Professional		$113.87	$180.90	$226.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $25.97 / $90.00	Professional	26	$18.76	$25.97	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.70 / $144.88 / $204.06	Professional	TC	$91.70	$144.88	$204.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $130.47 / $186.95	Professional		$120.94	$130.47	$186.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $24.90 / $24.91	Professional	26	$18.79	$24.90	$24.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.53 / $105.56 / $162.71	Professional	TC	$97.53	$105.56	$162.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $177.88 / $256.13	Professional		$119.43	$177.88	$256.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $27.15 / $44.13	Professional	26	$18.94	$27.15	$44.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $147.36 / $221.04	Professional	TC	$96.36	$147.36	$221.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $156.60 / $223.04	Professional		$2.16	$156.60	$223.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $25.36 / $38.92	Professional	26	$0.72	$25.36	$38.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.20 / $131.12 / $181.55	Professional	TC	$1.20	$131.12	$181.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $118.68 / $185.87	Professional		$2.16	$118.68	$185.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $23.05 / $34.58	Professional	26	$0.81	$23.05	$34.58
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.35 / $100.86 / $151.29	Professional	TC	$1.35	$100.86	$151.29
United Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $168.34 / $254.81	Professional		$120.77	$168.34	$254.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $27.28 / $47.85	Professional	26	$19.82	$27.28	$47.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.16 / $151.47 / $233.62	Professional	TC	$98.16	$151.47	$233.62