Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.06 / $48.06 / $51.91	Facility	26	$48.06	$48.06	$51.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $98.86 / $143.88	Professional		$81.05	$98.86	$143.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $53.95 / $78.02	Professional	TC	$40.58	$53.95	$78.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $94.64 / $149.88	Professional		$80.97	$94.64	$149.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.70 / $46.62 / $81.67	Professional	TC	$35.70	$46.62	$81.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $115.57 / $178.60	Professional		$70.30	$115.57	$178.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $58.44 / $93.06	Professional	TC	$19.28	$58.44	$93.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $109.49 / $152.37	Professional		$0.97	$109.49	$152.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $52.38 / $71.97	Professional	26	$0.40	$52.38	$71.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.56 / $54.83 / $73.75	Professional	TC	$0.56	$54.83	$73.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $85.74 / $136.86	Professional		$0.97	$85.74	$136.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.56 / $45.69 / $68.54	Professional	TC	$0.56	$45.69	$68.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $103.96 / $166.14	Professional		$74.20	$103.96	$166.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $50.76 / $85.99	Professional	TC	$33.08	$50.76	$85.99