Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.93 / $73.00 / $141.22	Facility	26	$66.93	$73.00	$141.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.98 / $494.18 / $2,161.75	Professional		$418.98	$494.18	$2,161.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.81 / $140.00 / $420.20	Professional	26	$87.81	$140.00	$420.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $329.38 / $348.53 / $1,741.54	Professional	TC	$329.38	$348.53	$1,741.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $158.71 / $158.71	Professional		$158.71	$158.71	$158.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $53.85 / $53.85	Professional	26	$53.85	$53.85	$53.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $428.98 / $618.53	Professional		$327.97	$428.98	$618.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $84.33 / $114.50	Professional	26	$66.34	$84.33	$114.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.62 / $342.19 / $532.52	Professional	TC	$261.62	$342.19	$532.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.72 / $670.14 / $1,297.00	Professional		$338.72	$670.14	$1,297.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $98.51 / $140.80	Professional	26	$61.46	$98.51	$140.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.58 / $523.37 / $1,133.69	Professional	TC	$269.58	$523.37	$1,133.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $471.27 / $804.78	Professional		$6.30	$471.27	$804.78
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $90.95 / $124.63	Professional	26	$1.35	$90.95	$124.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $350.85 / $668.61	Professional	TC	$4.95	$350.85	$668.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $324.20 / $490.91	Professional		$6.30	$324.20	$490.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $67.37 / $101.06	Professional	26	$1.35	$67.37	$101.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $389.84	Professional	TC	$4.95	$301.58	$389.84
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $622.88 / $1,134.75	Professional		$320.88	$622.88	$1,134.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.20 / $76.15 / $140.88	Professional	26	$60.20	$76.15	$140.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $497.23 / $1,034.43	Professional	TC	$256.14	$497.23	$1,034.43