Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $169.82	Facility	26	$141.25	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $1,659.59	Professional		$363.08	$501.19	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $501.19	Professional	26	$85.11	$141.25	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $354.81 / $812.83	Professional	TC	$263.03	$354.81	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $66.07 / $131.83	Professional	26	$63.10	$66.07	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $616.60	Professional		$346.74	$416.87	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $85.11 / $144.54	Professional	26	$81.28	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $537.03	Professional	TC	$263.03	$323.59	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,258.93	Professional		$354.81	$676.08	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $162.18	Professional	26	$64.57	$104.71	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $512.86 / $1,122.02	Professional	TC	$269.15	$512.86	$1,122.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $446.68 / $602.56	Professional		$6.31	$446.68	$602.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $97.72 / $131.83	Professional	26	$1.35	$97.72	$131.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $338.84 / $501.19	Professional	TC	$181.97	$338.84	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $512.86	Professional		$6.31	$6.31	$512.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $1.35 / $123.03	Professional	26	$1.35	$1.35	$123.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $302.00 / $389.05	Professional	TC	$302.00	$302.00	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $346.74 / $346.74	Professional		$338.84	$346.74	$346.74
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $263.03 / $263.03	Professional	TC	$257.04	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,122.02	Professional		$338.84	$512.86	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $151.36	Professional	26	$64.57	$79.43	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $436.52 / $1,023.29	Professional	TC	$251.19	$436.52	$1,023.29