Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.41 / $73.00 / $114.98	Facility	26	$54.41	$73.00	$114.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $475.00 / $1,429.60	Professional		$323.45	$475.00	$1,429.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $140.00 / $341.00	Professional	26	$57.00	$140.00	$341.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.01 / $335.00 / $1,088.60	Professional	TC	$202.01	$335.00	$1,088.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $322.91 / $322.91	Professional		$322.91	$322.91	$322.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $45.98	Professional	26	$43.65	$43.65	$45.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $288.37 / $404.92	Professional		$214.94	$288.37	$404.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $56.28 / $89.72	Professional	26	$53.97	$56.28	$89.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.97 / $219.09 / $347.52	Professional	TC	$160.97	$219.09	$347.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.27 / $435.52 / $781.22	Professional		$223.27	$435.52	$781.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $71.40 / $108.83	Professional	26	$47.65	$71.40	$108.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.76 / $357.00 / $658.52	Professional	TC	$166.76	$357.00	$658.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $313.37 / $501.38	Professional		$4.95	$313.37	$501.38
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 / $223.51 / $425.00	Professional	TC	$4.05	$223.51	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $212.44 / $321.57	Professional		$4.95	$212.44	$321.57
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 / $239.48	Professional	TC	$4.05	$205.94	$239.48
United Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $412.66 / $677.16	Professional		$212.59	$412.66	$677.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.91 / $54.24 / $112.31	Professional	26	$42.91	$54.24	$112.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $334.42 / $610.72	Professional	TC	$160.13	$334.42	$610.72