Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.09 / $73.00 / $114.98	Facility	26	$54.09	$73.00	$114.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.22 / $475.00 / $638.00	Professional		$249.22	$475.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $140.00 / $483.84	Professional	26	$73.37	$140.00	$483.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.00 / $335.00 / $680.05	Professional	TC	$249.00	$335.00	$680.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $268.97	Professional		$160.96	$160.96	$268.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.27 / $43.41 / $99.96	Professional	26	$43.27	$43.41	$99.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $287.51 / $404.92	Professional		$214.31	$287.51	$404.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $56.28 / $90.26	Professional	26	$53.97	$56.28	$90.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.33 / $218.23 / $347.52	Professional	TC	$160.33	$218.23	$347.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $423.58 / $781.81	Professional		$222.32	$423.58	$781.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.39 / $71.40 / $108.18	Professional	26	$47.39	$71.40	$108.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.14 / $357.00 / $659.97	Professional	TC	$166.14	$357.00	$659.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $313.10 / $500.95	Professional		$4.95	$313.10	$500.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $71.15 / $95.78	Professional	26	$0.90	$71.15	$95.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $223.97 / $425.00	Professional	TC	$4.05	$223.97	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $211.79 / $322.08	Professional		$4.95	$211.79	$322.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $54.73 / $82.10	Professional	26	$0.90	$54.73	$82.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $239.97	Professional	TC	$4.05	$205.94	$239.97
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $407.11 / $672.58	Professional		$211.67	$407.11	$672.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $55.45 / $111.66	Professional	26	$44.74	$55.45	$111.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $306.81 / $612.04	Professional	TC	$159.52	$306.81	$612.04