Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.86	Facility	26	$63.10	$63.10	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $426.58	Professional		$181.97	$275.42	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $257.04	Professional	26	$52.48	$70.79	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $199.53 / $346.74	Professional	TC	$128.82	$199.53	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $177.83	Professional		$120.23	$120.23	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $41.69 / $44.67	Professional	26	$39.81	$41.69	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $323.59	Professional		$177.83	$213.80	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $57.54 / $89.13	Professional	26	$50.12	$57.54	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $158.49 / $257.04	Professional	TC	$128.82	$158.49	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $501.19	Professional		$186.21	$309.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $77.62 / $107.15	Professional	26	$41.69	$77.62	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $234.42 / $389.05	Professional	TC	$131.83	$234.42	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $234.42 / $316.23	Professional		$2.40	$234.42	$316.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $61.66 / $87.10	Professional	26	$0.72	$61.66	$87.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $165.96 / $245.47	Professional	TC	$91.20	$165.96	$245.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $269.15	Professional		$2.40	$2.40	$269.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $0.72 / $77.62	Professional	26	$0.72	$0.72	$77.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $151.36 / $190.55	Professional	TC	$151.36	$151.36	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $128.82 / $128.82	Professional	TC	$125.89	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $426.58	Professional		$177.83	$269.15	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $100.00	Professional	26	$48.98	$57.54	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $346.74	Professional	TC	$128.82	$190.55	$346.74