Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $83.00 / $700.24	Facility	26	$57.60	$83.00	$700.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $294.55 / $1,077.33	Professional		$212.39	$294.55	$1,077.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $83.00 / $324.00	Professional	26	$54.86	$83.00	$324.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.69 / $226.80 / $437.08	Professional	TC	$139.69	$226.80	$437.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $131.50 / $167.23	Professional		$131.50	$131.50	$167.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $47.49 / $125.51	Professional	26	$46.08	$47.49	$125.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $220.50 / $299.93	Professional		$171.76	$220.50	$299.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $57.15 / $95.50	Professional	26	$55.85	$57.15	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.61 / $147.97 / $221.36	Professional	TC	$114.61	$147.97	$221.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $285.42 / $485.64	Professional		$176.24	$285.42	$485.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $77.69 / $114.05	Professional	26	$50.16	$77.69	$114.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.67 / $193.87 / $384.00	Professional	TC	$116.67	$193.87	$384.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $233.06 / $305.00	Professional		$2.84	$233.06	$305.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.67 / $75.50 / $101.64	Professional	26	$0.67	$75.50	$101.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $152.96 / $212.45	Professional	TC	$2.18	$152.96	$212.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $170.39 / $258.95	Professional		$2.84	$170.39	$258.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.67 / $58.08 / $87.12	Professional	26	$0.67	$58.08	$87.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $152.36 / $171.86	Professional	TC	$2.18	$152.36	$171.86
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $219.01 / $407.44	Professional		$165.04	$219.01	$407.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $57.43 / $118.23	Professional	26	$49.23	$57.43	$118.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $165.38 / $336.60	Professional	TC	$108.96	$165.38	$336.60