Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.39 / $68.76 / $73.67	Facility	26	$61.39	$68.76	$73.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.80 / $436.64 / $583.00	Professional		$367.80	$436.64	$583.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $63.62 / $86.49	Professional	26	$55.71	$63.62	$86.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $183.90 / $207.70 / $290.18	Professional	52	$183.90	$207.70	$290.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.45 / $367.88 / $517.55	Professional	TC	$313.45	$367.88	$517.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.23 / $467.19 / $649.73	Professional		$367.23	$467.19	$649.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.92 / $69.09 / $93.61	Professional	26	$52.92	$69.09	$93.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.89 / $403.82 / $548.29	Professional	TC	$309.89	$403.82	$548.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.86 / $544.64 / $790.76	Professional		$389.86	$544.64	$790.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.98 / $79.52 / $121.32	Professional	26	$55.98	$79.52	$121.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.47 / $469.90 / $670.92	Professional	TC	$328.47	$469.90	$670.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $527.15 / $700.49	Professional		$4.13	$527.15	$700.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $68.00 / $93.43	Professional	26	$0.61	$68.00	$93.43
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.53 / $461.05 / $607.04	Professional	TC	$3.53	$461.05	$607.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $400.94 / $665.03	Professional		$4.13	$400.94	$665.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $59.13 / $88.70	Professional	26	$0.61	$59.13	$88.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.53 / $384.21 / $576.32	Professional	TC	$3.53	$384.21	$576.32
United Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $558.65 / $769.84	Professional		$391.40	$558.65	$769.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.14 / $84.42 / $117.26	Professional	26	$58.14	$84.42	$117.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.78 / $481.25 / $652.58	Professional	TC	$332.78	$481.25	$652.58