Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.45 / $89.83 / $674.98	Facility	26	$62.45	$89.83	$674.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.32 / $325.05 / $1,172.06	Professional		$225.32	$325.05	$1,172.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $110.25 / $325.00	Professional	26	$62.95	$110.25	$325.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.41 / $221.81 / $780.37	Professional	TC	$124.41	$221.81	$780.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $144.59 / $229.54	Professional		$139.44	$144.59	$229.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.96 / $90.09 / $136.08	Professional	26	$49.96	$90.09	$136.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $233.60 / $311.93	Professional		$182.56	$233.60	$311.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.63 / $61.91 / $101.86	Professional	26	$60.63	$61.91	$101.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.65 / $155.75 / $213.60	Professional	TC	$120.65	$155.75	$213.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $290.56 / $459.64	Professional		$187.62	$290.56	$459.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.55 / $83.48 / $123.43	Professional	26	$54.55	$83.48	$123.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.06 / $201.97 / $357.16	Professional	TC	$124.06	$201.97	$357.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $256.68 / $356.70	Professional		$2.42	$256.68	$356.70
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $82.02 / $110.41	Professional	26	$0.72	$82.02	$110.41
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $162.84 / $271.39	Professional	TC	$1.70	$162.84	$271.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $180.74 / $275.01	Professional		$2.42	$180.74	$275.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $63.09 / $94.64	Professional	26	$0.72	$63.09	$94.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.70 / $152.36 / $180.38	Professional	TC	$1.70	$152.36	$180.38
United Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $246.91 / $387.60	Professional		$174.85	$246.91	$387.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.66 / $63.84 / $128.75	Professional	26	$51.66	$63.84	$128.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.71 / $168.29 / $296.02	Professional	TC	$114.71	$168.29	$296.02