Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.18 / $63.80 / $76.56	Facility	26	$51.18	$63.80	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $332.37 / $801.81	Professional		$220.70	$332.37	$801.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.50 / $81.50 / $311.24	Professional	26	$59.50	$81.50	$311.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.11 / $272.87 / $665.80	Professional	TC	$156.11	$272.87	$665.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $41.11 / $94.46	Professional	26	$40.94	$41.11	$94.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $237.79 / $321.33	Professional		$178.43	$237.79	$321.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $60.46 / $87.02	Professional	26	$50.16	$60.46	$87.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.27 / $174.27 / $259.66	Professional	TC	$128.27	$174.27	$259.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $304.57 / $506.33	Professional		$184.66	$304.57	$506.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.96 / $78.31 / $106.63	Professional	26	$46.96	$78.31	$106.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.05 / $240.32 / $402.25	Professional	TC	$132.05	$240.32	$402.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $258.72 / $428.31	Professional		$2.42	$258.72	$428.31
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $69.84 / $93.11	Professional	26	$0.72	$69.84	$93.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $172.72 / $315.50	Professional	TC	$1.70	$172.72	$315.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $177.23 / $269.51	Professional		$2.42	$177.23	$269.51
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $51.73 / $77.59	Professional	26	$0.72	$51.73	$77.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $152.36 / $191.91	Professional	TC	$1.70	$152.36	$191.91
United Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $273.69 / $454.08	Professional		$192.95	$273.69	$454.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $57.74 / $106.82	Professional	26	$49.08	$57.74	$106.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.86 / $180.34 / $366.95	Professional	TC	$143.86	$180.34	$366.95