Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.63 / $71.67 / $86.00	Facility	26	$56.63	$71.67	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $354.55 / $1,310.38	Professional		$240.00	$354.55	$1,310.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $81.64 / $338.00	Professional	26	$59.34	$81.64	$338.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.52 / $288.12 / $734.92	Professional	TC	$168.52	$288.12	$734.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $292.89 / $292.89	Professional		$141.03	$292.89	$292.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $45.57 / $45.57	Professional	26	$43.84	$45.57	$45.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $255.40 / $343.36	Professional		$195.26	$255.40	$343.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.19 / $60.63 / $92.46	Professional	26	$56.19	$60.63	$92.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.06 / $183.83 / $281.52	Professional	TC	$139.06	$183.83	$281.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $342.48 / $570.00	Professional		$200.64	$342.48	$570.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.75 / $82.30 / $113.25	Professional	26	$50.75	$82.30	$113.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.69 / $246.37 / $503.00	Professional	TC	$142.69	$246.37	$503.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $273.52 / $424.20	Professional		$3.33	$273.52	$424.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.78 / $74.19 / $99.87	Professional	26	$0.78	$74.19	$99.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.54 / $182.83 / $312.19	Professional	TC	$2.54	$182.83	$312.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $192.70 / $293.07	Professional		$3.33	$192.70	$293.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.78 / $57.07 / $85.61	Professional	26	$0.78	$57.07	$85.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.54 / $152.36 / $207.47	Professional	TC	$2.54	$152.36	$207.47
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $299.70 / $502.48	Professional		$200.32	$299.70	$502.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.73 / $62.22 / $128.07	Professional	26	$49.73	$62.22	$128.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $211.05 / $425.48	Professional	TC	$140.50	$211.05	$425.48