Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $657.18 / $690.89	Facility		$78.79	$657.18	$690.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $10.90 / $13.08	Facility	26	$10.30	$10.90	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $41.04 / $177.00	Professional		$29.19	$41.04	$177.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $12.72 / $60.00	Professional	26	$9.59	$12.72	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $26.77 / $130.00	Professional	TC	$21.10	$26.77	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $28.38 / $53.93	Professional		$27.37	$28.38	$53.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $15.97 / $22.44	Professional	26	$8.26	$15.97	$22.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $46.25 / $46.25	Facility		$37.00	$46.25	$46.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $34.72 / $44.35	Professional		$32.13	$34.72	$44.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $11.80 / $14.60	Professional	26	$8.83	$11.80	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $24.02 / $32.20	Professional	TC	$22.24	$24.02	$32.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $168.41 / $498.40	Facility		$89.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $42.18 / $69.03	Professional		$27.98	$42.18	$69.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $13.68 / $20.22	Professional	26	$8.92	$13.68	$20.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.87 / $49.10	Professional	TC	$19.05	$28.87	$49.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $43.19 / $60.10	Professional		$0.32	$43.19	$60.10
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $12.88 / $16.71	Professional	26	$0.14	$12.88	$16.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $29.78 / $41.10	Professional	TC	$0.18	$29.78	$41.10
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 $0.32 / $35.47 / $53.99	Professional		$0.32	$35.47	$53.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $10.30 / $15.45	Professional	26	$0.14	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $25.69 / $38.54	Professional	TC	$0.18	$25.69	$38.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $36.09 / $65.68	Professional		$27.18	$36.09	$65.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $11.55 / $21.76	Professional	26	$8.26	$11.55	$21.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $24.54 / $43.20	Professional	TC	$17.80	$24.54	$43.20