Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.56 / $104.56 / $112.93	Facility	26	$104.56	$104.56	$112.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.85 / $325.20 / $433.26	Professional		$254.85	$325.20	$433.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.50 / $103.75 / $144.38	Professional	26	$91.50	$103.75	$144.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $215.75 / $318.50	Professional	TC	$157.94	$215.75	$318.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.55 / $297.25 / $387.59	Professional		$222.55	$297.25	$387.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.11 / $102.92 / $148.40	Professional	26	$90.11	$102.92	$148.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.74 / $196.54 / $259.39	Professional	TC	$134.74	$196.54	$259.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $336.35 / $507.30	Professional		$187.56	$336.35	$507.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.33 / $130.69 / $188.21	Professional	26	$87.33	$130.69	$188.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.42 / $222.10 / $370.29	Professional	TC	$87.42	$222.10	$370.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $387.40 / $517.57	Professional		$4.01	$387.40	$517.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.03 / $116.36 / $159.86	Professional	26	$1.03	$116.36	$159.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $271.36 / $381.99	Professional	TC	$2.99	$271.36	$381.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $309.92 / $464.88	Professional		$4.01	$309.92	$464.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.03 / $101.18 / $151.77	Professional	26	$1.03	$101.18	$151.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $208.74 / $313.11	Professional	TC	$2.99	$208.74	$313.11
United Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $304.08 / $479.82	Professional		$217.00	$304.08	$479.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.21 / $123.48 / $185.22	Professional	26	$88.21	$123.48	$185.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.55 / $191.85 / $293.80	Professional	TC	$137.55	$191.85	$293.80