Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.92 / $65.79 / $73.09	Facility	26	$60.92	$65.79	$73.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $169.26 / $302.47	Professional		$152.62	$169.26	$302.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $60.25 / $111.14	Professional	26	$53.08	$60.25	$111.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.53 / $109.21 / $206.54	Professional	TC	$99.53	$109.21	$206.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $311.45 / $326.37	Professional		$151.57	$311.45	$326.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $59.87 / $74.65	Professional	26	$51.64	$59.87	$74.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.30 / $239.69 / $266.49	Professional	TC	$96.30	$239.69	$266.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $371.81 / $568.01	Professional		$275.33	$371.81	$568.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.84 / $74.09 / $108.63	Professional	26	$50.84	$74.09	$108.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.00 / $300.01 / $475.35	Professional	TC	$224.00	$300.01	$475.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $190.00 / $288.68	Professional		$5.21	$190.00	$288.68
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.13 / $66.79 / $98.06	Professional	26	$1.13	$66.79	$98.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.49 / $122.91 / $187.04	Professional	TC	$3.49	$122.91	$187.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $164.96 / $283.22	Professional		$5.21	$164.96	$283.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.29 / $58.08 / $87.12	Professional	26	$1.29	$58.08	$87.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.92 / $106.88 / $160.32	Professional	TC	$3.92	$106.88	$160.32
United Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $353.38 / $599.08	Professional		$252.40	$353.38	$599.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.01 / $71.94 / $116.27	Professional	26	$54.01	$71.94	$116.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.00 / $295.62 / $482.81	Professional	TC	$228.00	$295.62	$482.81