Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $73.00 / $128.33	Facility	26	$60.83	$73.00	$128.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $475.00 / $1,513.96	Professional		$375.00	$475.00	$1,513.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.89 / $140.00 / $322.00	Professional	26	$77.89	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.03 / $335.00 / $1,134.57	Professional	TC	$208.03	$335.00	$1,134.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.44 / $337.17 / $337.17	Professional		$217.44	$337.17	$337.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $48.89 / $48.89	Professional	26	$48.89	$48.89	$48.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $283.93 / $395.84	Professional		$226.69	$283.93	$395.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $60.32 / $99.25	Professional	26	$59.19	$60.32	$99.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.37 / $212.95 / $325.20	Professional	TC	$166.37	$212.95	$325.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.65 / $398.20 / $759.17	Professional		$234.65	$398.20	$759.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $79.63 / $120.30	Professional	26	$48.18	$79.63	$120.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.39 / $326.83 / $640.72	Professional	TC	$169.39	$326.83	$640.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $322.75 / $509.75	Professional		$4.95	$322.75	$509.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $79.84 / $107.49	Professional	26	$0.90	$79.84	$107.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $227.79 / $425.00	Professional	TC	$4.05	$227.79	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $221.82 / $336.20	Professional		$4.95	$221.82	$336.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $61.42 / $92.13	Professional	26	$0.90	$61.42	$92.13
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $244.07	Professional	TC	$4.05	$205.94	$244.07
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $365.10 / $621.12	Professional		$225.17	$365.10	$621.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.32 / $62.02 / $125.92	Professional	26	$48.32	$62.02	$125.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $292.88 / $565.40	Professional	TC	$166.88	$292.88	$565.40