Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.17 / $99.51 / $119.41	Facility	26	$79.17	$99.51	$119.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $431.44 / $1,547.26	Professional		$288.99	$431.44	$1,547.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $95.03 / $415.00	Professional	26	$75.65	$95.03	$415.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.15 / $346.05 / $1,053.10	Professional	TC	$210.15	$346.05	$1,053.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $217.44 / $391.02	Professional		$209.03	$217.44	$391.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.33 / $117.17 / $172.51	Professional	26	$63.33	$117.17	$172.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $327.79 / $465.46	Professional		$272.41	$327.79	$465.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.09 / $82.47 / $128.51	Professional	26	$78.09	$82.47	$128.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.78 / $228.21 / $338.54	Professional	TC	$190.78	$228.21	$338.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $473.40 / $774.16	Professional		$276.39	$473.40	$774.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.13 / $103.29 / $155.75	Professional	26	$69.13	$103.29	$155.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.40 / $339.64 / $645.82	Professional	TC	$194.40	$339.64	$645.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $349.72 / $556.69	Professional		$3.06	$349.72	$556.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $103.58 / $139.44	Professional	26	$0.81	$103.58	$139.44
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $233.18 / $412.78	Professional	TC	$2.25	$233.18	$412.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $259.05 / $388.58	Professional		$3.06	$259.05	$388.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $79.68 / $119.52	Professional	26	$0.81	$79.68	$119.52
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $152.36 / $269.06	Professional	TC	$2.25	$152.36	$269.06
United Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $387.34 / $730.55	Professional		$252.59	$387.34	$730.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.23 / $79.13 / $162.88	Professional	26	$65.23	$79.13	$162.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.32 / $249.74 / $564.79	Professional	TC	$176.32	$249.74	$564.79