Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.83 / $65.89 / $70.59	Facility	26	$58.83	$65.89	$70.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.47 / $448.55 / $749.38	Professional		$389.47	$448.55	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.33 / $63.71 / $95.09	Professional	26	$54.33	$63.71	$95.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.27 / $384.10 / $566.12	Professional	TC	$336.27	$384.10	$566.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.61 / $473.55 / $708.01	Professional		$388.61	$473.55	$708.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $67.56 / $97.37	Professional	26	$51.02	$67.56	$97.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.97 / $405.98 / $600.21	Professional	TC	$332.97	$405.98	$600.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $550.47 / $941.76	Professional		$351.98	$550.47	$941.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $79.34 / $123.36	Professional	26	$55.32	$79.34	$123.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.55 / $474.30 / $786.81	Professional	TC	$303.55	$474.30	$786.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $527.41 / $757.55	Professional		$3.88	$527.41	$757.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $66.15 / $90.88	Professional	26	$0.59	$66.15	$90.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.30 / $472.42 / $645.57	Professional	TC	$3.30	$472.42	$645.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $424.82 / $719.19	Professional		$3.88	$424.82	$719.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $57.52 / $86.28	Professional	26	$0.59	$57.52	$86.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.30 / $421.94 / $632.91	Professional	TC	$3.30	$421.94	$632.91
United Facility/Professional Professional Modifier Low / Median / High Price $401.21 / $576.69 / $786.05	Professional		$401.21	$576.69	$786.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $88.31 / $114.80	Professional	26	$55.81	$88.31	$114.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $344.42 / $491.47 / $673.28	Professional	TC	$344.42	$491.47	$673.28