Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.48 / $51.28 / $56.98	Facility	26	$47.48	$51.28	$56.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $250.36 / $467.91	Professional		$206.63	$250.36	$467.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $47.48 / $222.00	Professional	26	$41.71	$47.48	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $204.52 / $398.36	Professional	TC	$162.49	$204.52	$398.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $279.99 / $298.55	Professional		$236.55	$279.99	$298.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $46.72 / $59.03	Professional	26	$40.40	$46.72	$59.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.89 / $233.27 / $233.27	Professional	TC	$183.89	$233.27	$233.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $362.11 / $514.29	Professional		$255.63	$362.11	$514.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.65 / $60.47 / $85.47	Professional	26	$42.65	$60.47	$85.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.55 / $303.85 / $437.05	Professional	TC	$204.55	$303.85	$437.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $285.98 / $450.82	Professional		$4.32	$285.98	$450.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.96 / $51.87 / $76.14	Professional	26	$0.96	$51.87	$76.14
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $224.84 / $379.60	Professional	TC	$2.88	$224.84	$379.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $248.07 / $404.93	Professional		$4.32	$248.07	$404.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $45.10 / $67.65	Professional	26	$1.08	$45.10	$67.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $224.84 / $337.26	Professional	TC	$3.24	$224.84	$337.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $352.51 / $523.60	Professional		$251.62	$352.51	$523.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $56.88 / $91.80	Professional	26	$42.56	$56.88	$91.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.90 / $298.45 / $444.50	Professional	TC	$215.90	$298.45	$444.50