Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.57 / $65.42 / $72.68	Facility	26	$60.57	$65.42	$72.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $163.69 / $277.80	Professional		$106.75	$163.69	$277.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.11 / $60.57 / $104.26	Professional	26	$54.11	$60.57	$104.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.64 / $104.62 / $181.88	Professional	TC	$52.64	$104.62	$181.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $118.71 / $205.16	Professional		$116.71	$118.71	$205.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.99 / $59.87 / $76.98	Professional	26	$52.99	$59.87	$76.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.83 / $58.83 / $127.62	Professional	TC	$58.83	$58.83	$127.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $181.39 / $260.81	Professional		$118.98	$181.39	$260.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.21 / $79.91 / $111.93	Professional	26	$57.21	$79.91	$111.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $100.22 / $167.35	Professional	TC	$58.20	$100.22	$167.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $154.68 / $217.17	Professional		$4.68	$154.68	$217.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.76 / $68.45 / $104.18	Professional	26	$1.76	$68.45	$104.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.40 / $82.53 / $115.72	Professional	TC	$2.40	$82.53	$115.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $112.96 / $180.98	Professional		$4.68	$112.96	$180.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.98 / $59.53 / $89.30	Professional	26	$1.98	$59.53	$89.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $61.13 / $91.70	Professional	TC	$2.70	$61.13	$91.70
United Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $186.22 / $280.80	Professional		$116.84	$186.22	$280.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.83 / $75.25 / $119.01	Professional	26	$56.83	$75.25	$119.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.50 / $99.52 / $184.20	Professional	TC	$56.50	$99.52	$184.20