Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.18 / $64.20 / $77.04	Facility	26	$51.18	$64.20	$77.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $255.24 / $918.70	Professional		$181.85	$255.24	$918.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $73.13 / $288.00	Professional	26	$48.57	$73.13	$288.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.26 / $184.15 / $623.66	Professional	TC	$117.26	$184.15	$623.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $56.33	Professional		$56.33	$56.33	$56.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $41.11 / $100.68	Professional	26	$41.11	$41.11	$100.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $188.60 / $255.02	Professional		$146.05	$188.60	$255.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.64 / $50.48 / $83.06	Professional	26	$49.64	$50.48	$83.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.56 / $123.47 / $179.67	Professional	TC	$95.56	$123.47	$179.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $235.51 / $414.35	Professional		$137.97	$235.51	$414.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.43 / $68.40 / $100.49	Professional	26	$44.43	$68.40	$100.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.89 / $161.93 / $330.21	Professional	TC	$96.89	$161.93	$330.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $207.54 / $287.88	Professional		$2.29	$207.54	$287.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $67.25 / $90.53	Professional	26	$0.59	$67.25	$90.53
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $138.97 / $218.75	Professional	TC	$1.70	$138.97	$218.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $145.85 / $222.36	Professional		$2.29	$145.85	$222.36
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $51.73 / $77.59	Professional	26	$0.59	$51.73	$77.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $144.77 / $150.90	Professional	TC	$1.70	$144.77	$150.90
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $204.84 / $335.72	Professional		$140.80	$204.84	$335.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.34 / $52.53 / $105.09	Professional	26	$42.34	$52.53	$105.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.48 / $134.55 / $272.35	Professional	TC	$89.48	$134.55	$272.35