Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.24 / $73.27 / $87.92	Facility	26	$58.24	$73.27	$87.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $259.57 / $949.36	Professional		$184.01	$259.57	$949.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.53 / $81.90 / $329.00	Professional	26	$58.53	$81.90	$329.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.50 / $177.61 / $419.43	Professional	TC	$110.50	$177.61	$419.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $114.11 / $144.88	Professional		$79.87	$114.11	$144.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $90.27 / $126.90	Professional	26	$46.83	$90.27	$126.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $189.41 / $258.35	Professional		$147.94	$189.41	$258.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.50 / $57.46 / $94.55	Professional	26	$56.50	$57.46	$94.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.48 / $116.93 / $171.94	Professional	TC	$90.48	$116.93	$171.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $240.88 / $393.98	Professional		$151.78	$240.88	$393.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $77.42 / $114.68	Professional	26	$50.55	$77.42	$114.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.49 / $154.18 / $287.08	Professional	TC	$93.49	$154.18	$287.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $210.03 / $295.75	Professional		$2.14	$210.03	$295.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $75.93 / $102.22	Professional	26	$0.68	$75.93	$102.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $122.24 / $216.50	Professional	TC	$1.47	$122.24	$216.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $147.47 / $223.44	Professional		$2.14	$147.47	$223.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $58.41 / $87.62	Professional	26	$0.68	$58.41	$87.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $89.34 / $135.83	Professional	TC	$1.47	$89.34	$135.83
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $200.51 / $319.44	Professional		$142.03	$200.51	$319.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $61.67 / $121.51	Professional	26	$50.23	$61.67	$121.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.07 / $126.44 / $242.20	Professional	TC	$86.07	$126.44	$242.20