Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $204.17	Facility	26	$169.82	$169.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,862.09	Professional		$371.54	$501.19	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $162.18 / $537.03	Professional	26	$102.33	$162.18	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $891.25	Professional	TC	$257.04	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $338.84	Professional		$223.87	$275.42	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $77.62 / $151.36	Professional	26	$75.86	$77.62	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $602.56	Professional		$338.84	$389.05	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $95.50 / $169.82	Professional	26	$93.33	$95.50	$169.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $281.84 / $501.19	Professional	TC	$245.47	$281.84	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $1,288.25	Professional		$346.74	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $190.55	Professional	26	$72.44	$120.23	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $457.09 / $1,071.52	Professional	TC	$245.47	$457.09	$1,071.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $436.52 / $588.84	Professional		$6.31	$436.52	$588.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $117.49 / $158.49	Professional	26	$1.35	$117.49	$158.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $446.68	Professional	TC	$177.83	$309.03	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $501.19	Professional		$6.31	$6.31	$501.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $1.35 / $147.91	Professional	26	$1.35	$1.35	$147.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $302.00 / $354.81	Professional	TC	$302.00	$302.00	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $338.84	Professional		$331.13	$338.84	$338.84
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $239.88 / $239.88	Professional	TC	$234.42	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,174.90	Professional		$338.84	$501.19	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $177.83	Professional	26	$77.62	$93.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $346.74 / $977.24	Professional	TC	$229.09	$346.74	$977.24