Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.80 / $65.80 / $78.95	Facility	26	$52.80	$65.80	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $282.66 / $1,085.00	Professional		$122.05	$282.66	$1,085.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $75.23 / $230.44	Professional	26	$53.01	$75.23	$230.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.19 / $228.97 / $762.06	Professional	TC	$116.19	$228.97	$762.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $124.62 / $208.24	Professional		$63.16	$124.62	$208.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $78.14 / $115.05	Professional	26	$42.24	$78.14	$115.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $214.69 / $286.62	Professional		$164.14	$214.69	$286.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.75 / $54.58 / $88.42	Professional	26	$51.75	$54.58	$88.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.39 / $149.22 / $223.03	Professional	TC	$112.39	$149.22	$223.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $283.87 / $469.62	Professional		$170.68	$283.87	$469.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.21 / $73.43 / $103.45	Professional	26	$46.21	$73.43	$103.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.40 / $196.53 / $412.00	Professional	TC	$116.40	$196.53	$412.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $232.81 / $349.85	Professional		$2.74	$232.81	$349.85
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.69 / $69.42 / $93.45	Professional	26	$0.69	$69.42	$93.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.04 / $158.06 / $272.75	Professional	TC	$2.04	$158.06	$272.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $163.97 / $249.44	Professional		$2.74	$163.97	$249.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.69 / $53.40 / $80.09	Professional	26	$0.69	$53.40	$80.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.04 / $152.36 / $169.35	Professional	TC	$2.04	$152.36	$169.35
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $248.81 / $406.99	Professional		$169.33	$248.81	$406.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $54.35 / $115.71	Professional	26	$44.34	$54.35	$115.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.02 / $167.21 / $338.35	Professional	TC	$115.02	$167.21	$338.35