Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $27.92 / $31.02	Facility	26	$25.85	$27.92	$31.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $178.69 / $884.80	Professional		$144.51	$178.69	$884.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $25.85 / $97.16	Professional	26	$21.39	$25.85	$97.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.11 / $150.77 / $302.77	Professional	TC	$123.11	$150.77	$302.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $164.05 / $255.86	Professional		$152.33	$164.05	$255.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $24.91 / $31.11	Professional	26	$21.62	$24.91	$31.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.13 / $139.13 / $224.35	Professional	TC	$121.13	$139.13	$224.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $226.22 / $324.64	Professional		$150.84	$226.22	$324.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $32.74 / $46.54	Professional	26	$22.71	$32.74	$46.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.93 / $196.94 / $286.70	Professional	TC	$121.93	$196.94	$286.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $197.98 / $288.72	Professional		$4.38	$197.98	$288.72
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.44 / $26.90 / $40.93	Professional	26	$1.44	$26.90	$40.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.46 / $169.91 / $239.05	Professional	TC	$2.46	$169.91	$239.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $153.88 / $247.47	Professional		$4.38	$153.88	$247.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.62 / $23.39 / $35.09	Professional	26	$1.62	$23.39	$35.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.76 / $141.59 / $212.39	Professional	TC	$2.76	$141.59	$212.39
United Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $230.99 / $365.99	Professional		$154.99	$230.99	$365.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $31.27 / $47.59	Professional	26	$22.86	$31.27	$47.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.38 / $202.73 / $319.54	Professional	TC	$132.38	$202.73	$319.54