Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $13.63 / $13.63	Facility	26	$12.62	$13.63	$13.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $44.12 / $77.09	Professional		$39.50	$44.12	$77.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.95 / $18.44	Professional	26	$11.06	$12.95	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $30.40 / $55.94	Professional	TC	$25.98	$30.40	$55.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $43.76 / $67.04	Professional		$35.36	$43.76	$67.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $12.70 / $20.44	Professional	26	$10.39	$12.70	$20.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.49 / $31.99 / $45.49	Professional	TC	$24.49	$31.99	$45.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $49.01 / $75.40	Professional		$38.24	$49.01	$75.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $14.68 / $22.72	Professional	26	$11.05	$14.68	$22.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $35.19 / $52.45	Professional	TC	$26.99	$35.19	$52.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $50.61 / $80.19	Professional		$0.35	$50.61	$80.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $13.54 / $19.07	Professional	26	$0.10	$13.54	$19.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.25 / $36.72 / $55.37	Professional	TC	$0.25	$36.72	$55.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $42.92 / $72.03	Professional		$0.35	$42.92	$72.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $12.31 / $18.47	Professional	26	$0.10	$12.31	$18.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.25 / $35.72 / $53.58	Professional	TC	$0.25	$35.72	$53.58
United Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $48.30 / $76.78	Professional		$37.95	$48.30	$76.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $14.40 / $23.73	Professional	26	$11.16	$14.40	$23.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $33.97 / $55.30	Professional	TC	$26.07	$33.97	$55.30