Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $73.00 / $140.56	Facility	26	$66.59	$73.00	$140.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $476.39 / $1,765.76	Professional		$375.00	$476.39	$1,765.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $126.00 / $418.11	Professional	26	$73.00	$126.00	$418.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.00 / $351.43 / $1,347.66	Professional	TC	$249.00	$351.43	$1,347.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $326.77 / $326.77	Professional		$326.77	$326.77	$326.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $328.38 / $456.78	Professional		$267.33	$328.38	$456.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.58 / $66.04 / $108.00	Professional	26	$64.58	$66.04	$108.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.29 / $247.24 / $343.94	Professional	TC	$201.29	$247.24	$343.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $432.52 / $701.00	Professional		$270.77	$432.52	$701.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.94 / $88.47 / $131.78	Professional	26	$57.94	$88.47	$131.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.34 / $344.47 / $607.00	Professional	TC	$202.34	$344.47	$607.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $362.46 / $478.97	Professional		$4.95	$362.46	$478.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $86.36 / $116.25	Professional	26	$0.90	$86.36	$116.25
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $250.21 / $391.09	Professional	TC	$4.05	$250.21	$391.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $257.30 / $388.35	Professional		$4.95	$257.30	$388.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $66.43 / $99.65	Professional	26	$0.90	$66.43	$99.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $288.70	Professional	TC	$4.05	$205.94	$288.70
United Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $352.68 / $611.60	Professional		$266.27	$352.68	$611.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $64.43 / $132.31	Professional	26	$53.15	$64.43	$132.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.27 / $284.95 / $529.32	Professional	TC	$200.27	$284.95	$529.32