Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.54 / $35.54 / $38.39	Facility	26	$35.54	$35.54	$38.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $102.66 / $261.52	Professional		$64.31	$102.66	$261.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $34.82 / $52.84	Professional	26	$30.97	$34.82	$52.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.25 / $100.24	Professional	TC	$33.03	$65.25	$100.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $95.88 / $154.19	Professional		$59.77	$95.88	$154.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $34.76 / $53.90	Professional	26	$30.53	$34.76	$53.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.43 / $64.11 / $104.37	Professional	TC	$26.43	$64.11	$104.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $103.65 / $188.89	Professional		$53.21	$103.65	$188.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.45 / $44.30 / $63.99	Professional	26	$30.45	$44.30	$63.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $66.34 / $128.46	Professional	TC	$17.32	$66.34	$128.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $117.05 / $168.13	Professional		$0.53	$117.05	$168.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.33 / $39.00 / $52.00	Professional	26	$0.33	$39.00	$52.00
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $76.13 / $110.93	Professional	TC	$0.20	$76.13	$110.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $98.13 / $159.62	Professional		$0.53	$98.13	$159.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.33 / $33.90 / $50.87	Professional	26	$0.33	$33.90	$50.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $72.50 / $108.75	Professional	TC	$0.20	$72.50	$108.75
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $96.59 / $167.58	Professional		$54.19	$96.59	$167.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $42.14 / $65.34	Professional	26	$30.05	$42.14	$65.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $58.45 / $110.68	Professional	TC	$20.83	$58.45	$110.68