Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.98 / $45.98 / $49.65	Facility	26	$45.98	$45.98	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $85.96 / $120.57	Professional		$73.44	$85.96	$120.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $45.43 / $61.63	Professional	26	$39.95	$45.43	$61.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.78 / $41.94 / $63.20	Professional	TC	$33.78	$41.94	$63.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $80.81 / $131.47	Professional		$70.20	$80.81	$131.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $45.85 / $65.23	Professional	26	$37.24	$45.85	$65.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $40.21 / $66.23	Professional	TC	$26.42	$40.21	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $100.44 / $156.72	Professional		$65.22	$100.44	$156.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $56.97 / $82.76	Professional	26	$38.61	$56.97	$82.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $48.64 / $78.45	Professional	TC	$19.28	$48.64	$78.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $103.52 / $142.22	Professional		$0.76	$103.52	$142.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $50.53 / $68.97	Professional	26	$0.38	$50.53	$68.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.39 / $52.99 / $72.44	Professional	TC	$0.39	$52.99	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $83.58 / $135.03	Professional		$0.76	$83.58	$135.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $43.94 / $65.91	Professional	26	$0.38	$43.94	$65.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.39 / $46.08 / $69.12	Professional	TC	$0.39	$46.08	$69.12
United Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $88.45 / $153.09	Professional		$62.74	$88.45	$153.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.71 / $55.19 / $81.28	Professional	26	$38.71	$55.19	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.46 / $42.66 / $71.81	Professional	TC	$25.46	$42.66	$71.81