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 $186.26 / $287.22 / $941.09	Professional		$186.26	$287.22	$941.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $82.56 / $311.24	Professional	26	$56.06	$82.56	$311.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.66 / $220.28 / $588.91	Professional	TC	$121.66	$220.28	$588.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $80.73	Professional		$73.33	$73.33	$80.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $75.75 / $77.79	Professional	26	$41.11	$75.75	$77.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $192.69 / $280.27	Professional		$149.86	$192.69	$280.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $57.12 / $84.27	Professional	26	$50.16	$57.12	$84.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.69 / $128.78 / $219.90	Professional	TC	$99.69	$128.78	$219.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $254.61 / $453.46	Professional		$154.08	$254.61	$453.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $72.38 / $102.36	Professional	26	$46.68	$72.38	$102.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.28 / $195.81 / $351.00	Professional	TC	$101.28	$195.81	$351.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $219.54 / $365.90	Professional		$2.38	$219.54	$365.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $67.28 / $92.43	Professional	26	$0.68	$67.28	$92.43
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $142.19 / $275.00	Professional	TC	$1.70	$142.19	$275.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $149.41 / $227.37	Professional		$2.38	$149.41	$227.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $51.73 / $77.59	Professional	26	$0.68	$51.73	$77.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $149.79 / $152.36	Professional	TC	$1.70	$149.79	$152.36
United Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $220.20 / $390.28	Professional		$144.18	$220.20	$390.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $57.74 / $106.82	Professional	26	$46.89	$57.74	$106.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.09 / $169.40 / $310.18	Professional	TC	$95.09	$169.40	$310.18