Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $599.23 / $723.00	Facility		$80.00	$599.23	$723.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $11.65 / $65.97	Facility	26	$9.98	$11.65	$65.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.23 / $198.32 / $638.10	Facility	TC	$44.23	$198.32	$638.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $40.46 / $129.60	Professional		$28.74	$40.46	$129.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $14.50 / $51.92	Professional	26	$9.67	$14.50	$51.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $28.64 / $117.00	Professional	TC	$17.92	$28.64	$117.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $40.71 / $57.89	Professional		$26.06	$40.71	$57.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $14.77 / $21.75	Professional	26	$7.98	$14.77	$21.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $27.55 / $27.55	Professional	TC	$27.55	$27.55	$27.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $42.43 / $42.43	Facility		$33.94	$42.43	$42.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $37.54 / $51.47	Professional		$30.31	$37.54	$51.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.09 / $16.19	Professional	26	$8.94	$12.09	$16.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $24.26 / $33.03	Professional	TC	$20.07	$24.26	$33.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $168.41 / $498.40	Facility		$23.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $38.01 / $62.80	Professional		$24.52	$38.01	$62.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.35 / $19.60	Professional	26	$8.63	$13.35	$19.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $25.57 / $43.20	Professional	TC	$15.89	$25.57	$43.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $39.11 / $55.08	Professional		$0.28	$39.11	$55.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $12.31 / $15.95	Professional	26	$0.12	$12.31	$15.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.17 / $27.61 / $38.43	Professional	TC	$0.17	$27.61	$38.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $32.57 / $49.47	Professional		$0.28	$32.57	$49.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $9.97 / $14.96	Professional	26	$0.12	$9.97	$14.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.17 / $34.52 / $35.76	Professional	TC	$0.17	$34.52	$35.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $33.20 / $60.97	Professional		$25.22	$33.20	$60.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $11.75 / $83.06	Professional	26	$8.96	$11.75	$83.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $22.01 / $87.90	Professional	TC	$16.79	$22.01	$87.90