Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.69 / $121.69 / $131.41	Facility	26	$121.69	$121.69	$131.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $348.98 / $421.45 / $611.38	Professional	TC	$348.98	$421.45	$611.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $353.77 / $407.82 / $638.42	Professional	TC	$353.77	$407.82	$638.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.18 / $498.51 / $755.24	Professional	TC	$317.18	$498.51	$755.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.00 / $134.68 / $181.14	Professional	26	$1.00	$134.68	$181.14
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $519.09 / $722.30	Professional	TC	$2.75	$519.09	$722.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $472.09 / $708.14	Professional	TC	$2.75	$472.09	$708.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $359.79 / $469.15 / $720.08	Professional	TC	$359.79	$469.15	$720.08