Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.24 / $73.27 / $87.92	Facility	26	$58.24	$73.27	$87.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $268.39 / $1,202.00	Professional		$194.77	$268.39	$1,202.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.53 / $83.46 / $282.73	Professional	26	$58.53	$83.46	$282.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.26 / $192.00 / $648.75	Professional	TC	$121.26	$192.00	$648.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $124.92 / $237.35	Professional		$120.81	$124.92	$237.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $46.83 / $107.39	Professional	26	$46.83	$46.83	$107.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $207.79 / $266.91	Professional		$156.21	$207.79	$266.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.17 / $57.46 / $94.55	Professional	26	$56.17	$57.46	$94.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.74 / $134.27 / $181.69	Professional	TC	$98.74	$134.27	$181.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $265.76 / $393.98	Professional		$162.31	$265.76	$393.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.58 / $78.05 / $114.68	Professional	26	$50.58	$78.05	$114.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.42 / $195.82 / $315.17	Professional	TC	$102.42	$195.82	$315.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $221.10 / $308.80	Professional		$2.14	$221.10	$308.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $76.36 / $102.80	Professional	26	$0.68	$76.36	$102.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $133.91 / $229.55	Professional	TC	$1.47	$133.91	$229.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $156.15 / $236.90	Professional		$2.14	$156.15	$236.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $58.74 / $88.11	Professional	26	$0.68	$58.74	$88.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $89.34 / $148.79	Professional	TC	$1.47	$89.34	$148.79
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $215.80 / $390.81	Professional		$173.02	$215.80	$390.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.04 / $57.75 / $118.88	Professional	26	$46.04	$57.75	$118.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.71 / $310.63	Professional	TC	$117.49	$169.71	$310.63