Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.27 / $72.47 / $86.96	Facility	26	$57.27	$72.47	$86.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.85 / $368.37 / $1,410.22	Professional		$256.85	$368.37	$1,410.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $72.47 / $357.11	Professional	26	$62.17	$72.47	$357.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $184.55 / $218.83 / $1,053.10	Professional	TC	$184.55	$218.83	$1,053.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $46.09 / $46.09	Professional	26	$46.09	$46.09	$46.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.86 / $274.50 / $366.59	Professional		$209.86	$274.50	$366.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.83 / $63.64 / $93.90	Professional	26	$56.83	$63.64	$93.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.03 / $200.16 / $301.68	Professional	TC	$153.03	$200.16	$301.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.66 / $356.59 / $591.20	Professional		$215.66	$356.59	$591.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.62 / $84.46 / $114.55	Professional	26	$52.62	$84.46	$114.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.68 / $273.16 / $455.99	Professional	TC	$156.68	$273.16	$455.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $300.60 / $474.49	Professional		$2.94	$300.60	$474.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $75.06 / $102.59	Professional	26	$0.77	$75.06	$102.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $203.86 / $354.42	Professional	TC	$2.18	$203.86	$354.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $206.29 / $313.13	Professional		$2.94	$206.29	$313.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $57.74 / $86.61	Professional	26	$0.77	$57.74	$86.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $152.36 / $226.52	Professional	TC	$2.18	$152.36	$226.52
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $304.48 / $511.07	Professional		$213.81	$304.48	$511.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.01 / $63.25 / $117.57	Professional	26	$52.01	$63.25	$117.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $224.33 / $419.47	Professional	TC	$158.90	$224.33	$419.47