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 $254.32 / $431.44 / $1,547.26	Professional		$254.32	$431.44	$1,547.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $93.53 / $415.00	Professional	26	$75.65	$93.53	$415.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.15 / $318.48 / $1,053.10	Professional	TC	$210.15	$318.48	$1,053.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $133.11 / $208.79	Professional		$133.11	$133.11	$208.79
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 $272.08 / $327.79 / $464.92	Professional		$272.08	$327.79	$464.92
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 $276.08 / $477.53 / $775.47	Professional		$276.08	$477.53	$775.47
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 $194.09 / $349.68 / $667.43	Professional	TC	$194.09	$349.68	$667.43
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 $253.95 / $423.12 / $745.80	Professional		$253.95	$423.12	$745.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $84.32 / $163.16	Professional	26	$67.31	$84.32	$163.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.71 / $232.64 / $635.35	Professional	TC	$175.71	$232.64	$635.35