Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.91 / $61.40 / $73.68	Facility	26	$48.91	$61.40	$73.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $168.58 / $492.00	Professional		$134.41	$168.58	$492.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.28 / $62.94 / $169.60	Professional	26	$48.28	$62.94	$169.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $107.19 / $335.20	Professional	TC	$88.29	$107.19	$335.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $114.90 / $205.47	Professional		$104.55	$114.90	$205.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $75.81 / $96.24	Professional	26	$37.88	$75.81	$96.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $160.24 / $220.61	Professional		$134.93	$160.24	$220.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.26 / $53.33 / $78.90	Professional	26	$48.26	$53.33	$78.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.67 / $106.91 / $141.71	Professional	TC	$86.67	$106.91	$141.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $171.98 / $270.36	Professional		$121.30	$171.98	$270.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $60.77 / $96.11	Professional	26	$41.96	$60.77	$96.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.09 / $110.89 / $170.27	Professional	TC	$79.09	$110.89	$170.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $181.99 / $227.00	Professional		$135.93	$181.99	$227.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $64.61 / $82.01	Professional	26	$46.65	$64.61	$82.01
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $82.48 / $117.21 / $144.99	Professional	TC	$82.48	$117.21	$144.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $135.93 / $203.90	Professional		$135.18	$135.93	$203.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.11 / $73.67 / $73.67	Professional	26	$49.11	$73.67	$73.67
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $86.82 / $130.22 / $130.22	Professional	TC	$86.82	$130.22	$130.22
United Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $147.91 / $278.88	Professional		$121.33	$147.91	$278.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.91 / $49.63 / $99.19	Professional	26	$42.91	$49.63	$99.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.56 / $92.85 / $188.50	Professional	TC	$81.56	$92.85	$188.50