Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $97.73 / $203.04	Facility	26	$73.00	$97.73	$203.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.92 / $494.18 / $2,654.38	Professional		$393.92	$494.18	$2,654.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.00 / $191.25 / $560.00	Professional	26	$126.00	$191.25	$560.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.49 / $348.53 / $1,611.62	Professional	TC	$302.49	$348.53	$1,611.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $256.17 / $326.31	Professional		$224.15	$256.17	$326.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.92 / $151.47 / $212.95	Professional	26	$78.92	$151.47	$212.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.72 / $444.35 / $594.23	Professional		$339.72	$444.35	$594.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.02 / $95.56 / $156.24	Professional	26	$94.02	$95.56	$156.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $244.15 / $319.33 / $498.33	Professional	TC	$244.15	$319.33	$498.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.83 / $595.77 / $1,290.84	Professional		$355.83	$595.77	$1,290.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $121.14 / $190.35	Professional	26	$76.73	$121.14	$190.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.01 / $470.02 / $1,058.15	Professional	TC	$255.01	$470.02	$1,058.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $481.88 / $722.82	Professional		$6.30	$481.88	$722.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $127.69 / $171.89	Professional	26	$1.35	$127.69	$171.89
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $333.97 / $570.91	Professional	TC	$4.95	$333.97	$570.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $332.74 / $505.16	Professional		$6.30	$332.74	$505.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $98.22 / $147.33	Professional	26	$1.35	$98.22	$147.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $357.83	Professional	TC	$4.95	$301.58	$357.83
United Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $561.28 / $1,100.44	Professional		$336.21	$561.28	$1,100.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.97 / $106.05 / $202.30	Professional	26	$82.97	$106.05	$202.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.35 / $356.85 / $981.20	Professional	TC	$241.35	$356.85	$981.20