Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.06 / $92.32 / $110.78	Facility	26	$73.06	$92.32	$110.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.37 / $380.45 / $1,415.64	Professional		$270.37	$380.45	$1,415.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $92.32 / $236.45	Professional	26	$65.95	$92.32	$236.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.14 / $277.86 / $955.86	Professional	TC	$178.14	$277.86	$955.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $167.20 / $212.89	Professional		$167.20	$167.20	$212.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.69 / $111.07 / $111.07	Professional	26	$58.69	$111.07	$111.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $281.45 / $375.41	Professional		$219.71	$281.45	$375.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.64 / $72.39 / $118.35	Professional	26	$63.64	$72.39	$118.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.32 / $190.00 / $268.74	Professional	TC	$147.32	$190.00	$268.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $349.58 / $551.35	Professional		$225.84	$349.58	$551.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $88.78 / $144.50	Professional	26	$57.72	$88.78	$144.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.02 / $248.01 / $447.34	Professional	TC	$151.02	$248.01	$447.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $305.00 / $426.35	Professional		$2.94	$305.00	$426.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $89.25 / $128.43	Professional	26	$0.77	$89.25	$128.43
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $197.10 / $310.12	Professional	TC	$2.18	$197.10	$310.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $216.91 / $329.07	Professional		$2.94	$216.91	$329.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $73.39 / $110.09	Professional	26	$0.77	$73.39	$110.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $152.36 / $219.00	Professional	TC	$2.18	$152.36	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $298.41 / $468.53	Professional		$211.36	$298.41	$468.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $72.97 / $139.08	Professional	26	$56.47	$72.97	$139.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.40 / $206.10 / $381.47	Professional	TC	$139.40	$206.10	$381.47