Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $54.78 / $852.00	Facility	26	$38.61	$54.78	$852.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $178.59 / $665.77	Professional		$106.35	$178.59	$665.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $48.09 / $146.40	Professional	26	$37.59	$48.09	$146.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.06 / $160.87 / $425.25	Professional	TC	$82.06	$160.87	$425.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $159.40 / $159.40	Professional		$81.06	$159.40	$159.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $57.14 / $75.98	Professional	26	$30.89	$57.14	$75.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $133.37 / $181.67	Professional		$103.82	$133.37	$181.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.39 / $37.78 / $63.86	Professional	26	$37.39	$37.78	$63.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.04 / $85.47 / $138.99	Professional	TC	$66.04	$85.47	$138.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $176.54 / $305.00	Professional		$106.78	$176.54	$305.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $51.94 / $75.30	Professional	26	$33.40	$51.94	$75.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.73 / $121.34 / $252.00	Professional	TC	$66.73	$121.34	$252.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $149.87 / $250.00	Professional		$1.95	$149.87	$250.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $50.88 / $68.50	Professional	26	$0.49	$50.88	$68.50
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $94.01 / $167.46	Professional	TC	$1.47	$94.01	$167.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $104.87 / $159.44	Professional		$1.95	$104.87	$159.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $39.14 / $58.71	Professional	26	$0.49	$39.14	$58.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $89.34 / $100.73	Professional	TC	$1.47	$89.34	$100.73
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $156.81 / $257.62	Professional		$99.70	$156.81	$257.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.69 / $38.60 / $79.48	Professional	26	$31.69	$38.60	$79.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.39 / $88.34 / $216.48	Professional	TC	$62.39	$88.34	$216.48