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 $225.20 / $349.43 / $1,333.74	Professional		$225.20	$349.43	$1,333.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $72.47 / $359.20	Professional	26	$60.97	$72.47	$359.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.90 / $239.94 / $820.11	Professional	TC	$152.90	$239.94	$820.11
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 $183.19 / $225.03 / $341.10	Professional		$183.19	$225.03	$341.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.83 / $62.38 / $93.50	Professional	26	$56.83	$62.38	$93.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.73 / $155.22 / $272.94	Professional	TC	$125.73	$155.22	$272.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $310.95 / $537.25	Professional		$188.49	$310.95	$537.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.62 / $82.44 / $114.55	Professional	26	$52.62	$82.44	$114.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.38 / $246.93 / $430.14	Professional	TC	$129.38	$246.93	$430.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $264.50 / $440.81	Professional		$2.90	$264.50	$440.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $75.50 / $101.64	Professional	26	$0.72	$75.50	$101.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $169.62 / $325.02	Professional	TC	$2.18	$169.62	$325.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $180.74 / $275.52	Professional		$2.90	$180.74	$275.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $58.08 / $87.12	Professional	26	$0.72	$58.08	$87.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $152.36 / $188.40	Professional	TC	$2.18	$152.36	$188.40
United Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $285.89 / $474.79	Professional		$175.77	$285.89	$474.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.88 / $63.00 / $118.23	Professional	26	$50.88	$63.00	$118.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.37 / $167.31 / $362.58	Professional	TC	$120.37	$167.31	$362.58