Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.95 / $83.95 / $90.66	Facility	26	$83.95	$83.95	$90.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $158.63 / $295.18	Professional		$130.08	$158.63	$295.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.72 / $83.04 / $115.74	Professional	26	$72.72	$83.04	$115.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $74.95 / $129.97	Professional	TC	$55.03	$74.95	$129.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $164.54 / $244.02	Professional		$103.66	$164.54	$244.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.61 / $81.93 / $134.40	Professional	26	$66.61	$81.93	$134.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $82.22 / $124.99	Professional	TC	$37.04	$82.22	$124.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $182.50 / $298.18	Professional		$115.97	$182.50	$298.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.64 / $104.88 / $151.10	Professional	26	$74.64	$104.88	$151.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $95.15 / $156.57	Professional	TC	$34.54	$95.15	$156.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $191.08 / $255.94	Professional		$1.24	$191.08	$255.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $92.92 / $127.66	Professional	26	$0.90	$92.92	$127.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.34 / $97.43 / $128.28	Professional	TC	$0.34	$97.43	$128.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $149.09 / $242.99	Professional		$1.24	$149.09	$242.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $80.80 / $121.20	Professional	26	$0.90	$80.80	$121.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.34 / $81.19 / $121.79	Professional	TC	$0.34	$81.19	$121.79
United Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $175.02 / $290.00	Professional		$114.76	$175.02	$290.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.88 / $99.53 / $148.68	Professional	26	$69.88	$99.53	$148.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.99 / $87.85 / $158.13	Professional	TC	$37.99	$87.85	$158.13