Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.90 / $73.00 / $143.22	Facility	26	$67.90	$73.00	$143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.31 / $475.00 / $1,594.30	Professional		$313.31	$475.00	$1,594.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $322.00	Professional	26	$73.00	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.43 / $335.00 / $1,170.11	Professional	TC	$223.43	$335.00	$1,170.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $54.61 / $54.61	Professional	26	$54.61	$54.61	$54.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.79 / $327.45 / $479.29	Professional		$244.79	$327.45	$479.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $67.31 / $110.04	Professional	26	$56.28	$67.31	$110.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.48 / $241.45 / $413.62	Professional	TC	$177.48	$241.45	$413.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $465.00 / $781.22	Professional		$252.11	$465.00	$781.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $76.80 / $135.80	Professional	26	$47.99	$76.80	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.39 / $361.20 / $679.28	Professional	TC	$182.39	$361.20	$679.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $352.92 / $624.91	Professional		$5.58	$352.92	$624.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $82.06 / $119.67	Professional	26	$1.08	$82.06	$119.67
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $258.12 / $530.35	Professional	TC	$4.50	$258.12	$530.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $242.09 / $367.62	Professional		$5.58	$242.09	$367.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $68.38 / $102.57	Professional	26	$1.08	$68.38	$102.57
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $265.05 / $276.56	Professional	TC	$4.50	$265.05	$276.56
United Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $435.83 / $705.32	Professional		$237.43	$435.83	$705.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.64 / $65.84 / $141.16	Professional	26	$49.64	$65.84	$141.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.08 / $334.06 / $633.20	Professional	TC	$172.08	$334.06	$633.20