Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $3.50 / $3.50	Facility	26	$3.24	$3.50	$3.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $24.68 / $35.42	Professional		$14.99	$24.68	$35.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $4.79 / $7.07	Professional	26	$2.75	$4.79	$7.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.37 / $19.69 / $28.35	Professional	TC	$12.37	$19.69	$28.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $21.50 / $26.98	Professional		$13.83	$21.50	$26.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.60 / $5.15 / $8.64	Professional	26	$2.60	$5.15	$8.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.37 / $15.96 / $20.86	Professional	TC	$11.37	$15.96	$20.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $25.32 / $41.45	Professional		$14.88	$25.32	$41.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.13 / $5.69 / $9.52	Professional	26	$3.13	$5.69	$9.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.93 / $19.51 / $32.47	Professional	TC	$11.93	$19.51	$32.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $22.10 / $34.44	Professional		$0.25	$22.10	$34.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $3.67 / $6.72	Professional	26	$0.15	$3.67	$6.72
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $17.62 / $24.40	Professional	TC	$0.10	$17.62	$24.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $14.46 / $24.41	Professional		$0.25	$14.46	$24.41
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $2.62 / $3.93	Professional	26	$0.15	$2.62	$3.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $13.65 / $20.48	Professional	TC	$0.10	$13.65	$20.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $24.87 / $42.29	Professional		$16.03	$24.87	$42.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.72 / $5.44 / $8.84	Professional	26	$2.72	$5.44	$8.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.85 / $19.72 / $33.47	Professional	TC	$12.85	$19.72	$33.47