Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.43 / $171.47	Facility	26	$73.00	$81.43	$171.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $536.69 / $2,264.53	Professional		$439.25	$536.69	$2,264.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.83 / $154.00 / $511.10	Professional	26	$106.83	$154.00	$511.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $330.98 / $348.53 / $1,754.11	Professional	TC	$330.98	$348.53	$1,754.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $332.76 / $332.76 / $332.76	Professional		$332.76	$332.76	$332.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.43 / $150.32 / $160.22	Professional	26	$65.43	$150.32	$160.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $449.75 / $618.34	Professional		$343.85	$449.75	$618.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $84.15 / $132.68	Professional	26	$80.64	$84.15	$132.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.20 / $344.27 / $532.51	Professional	TC	$263.20	$344.27	$532.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.03 / $672.00 / $1,297.00	Professional		$356.03	$672.00	$1,297.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $107.58 / $160.75	Professional	26	$71.06	$107.58	$160.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.35 / $526.98 / $1,134.69	Professional	TC	$271.35	$526.98	$1,134.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $493.80 / $804.28	Professional		$6.30	$493.80	$804.28
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $106.63 / $143.54	Professional	26	$1.35	$106.63	$143.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $352.22 / $668.61	Professional	TC	$4.95	$352.22	$668.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $339.68 / $514.38	Professional		$6.30	$339.68	$514.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $82.02 / $123.03	Professional	26	$1.35	$82.02	$123.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $391.35	Professional	TC	$4.95	$301.58	$391.35
United Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $653.23 / $1,134.75	Professional		$336.52	$653.23	$1,134.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $79.48 / $168.15	Professional	26	$67.09	$79.48	$168.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $514.15 / $916.52	Professional	TC	$257.98	$514.15	$916.52