Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.66 / $46.66 / $50.39	Facility	26	$46.66	$46.66	$50.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $344.07 / $508.81	Professional		$292.89	$344.07	$508.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.44 / $180.32 / $254.41	Professional	52	$146.44	$180.32	$254.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $301.02 / $450.21	Professional	TC	$252.77	$301.02	$450.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $381.12 / $536.84	Professional		$314.05	$381.12	$536.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.64 / $330.80 / $470.61	Professional	TC	$268.64	$330.80	$470.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $418.33 / $637.10	Professional		$268.73	$418.33	$637.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.75 / $362.95 / $556.77	Professional	TC	$229.75	$362.95	$556.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $439.80 / $612.52	Professional		$2.35	$439.80	$612.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $51.61 / $69.08	Professional	26	$0.35	$51.61	$69.08
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $382.24 / $543.85	Professional	TC	$2.00	$382.24	$543.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $360.91 / $600.51	Professional		$2.35	$360.91	$600.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $355.46 / $533.19	Professional	TC	$2.00	$355.46	$533.19
United Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $382.36 / $622.47	Professional		$306.16	$382.36	$622.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.16 / $351.01 / $539.29	Professional	TC	$264.16	$351.01	$539.29