Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.63 / $103.50 / $124.20	Facility	26	$82.63	$103.50	$124.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $392.89 / $1,567.56	Professional		$280.33	$392.89	$1,567.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.98 / $103.50 / $407.85	Professional	26	$82.98	$103.50	$407.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.15 / $346.05 / $1,025.66	Professional	TC	$210.15	$346.05	$1,025.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $271.87 / $396.26	Professional		$213.55	$271.87	$396.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $122.29 / $180.05	Professional	26	$66.09	$122.29	$180.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $331.66 / $475.23	Professional		$278.13	$331.66	$475.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $84.33 / $132.88	Professional	26	$81.28	$84.33	$132.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.78 / $228.21 / $336.35	Professional	TC	$190.78	$228.21	$336.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $442.31 / $757.18	Professional		$275.00	$442.31	$757.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $106.73 / $162.00	Professional	26	$64.95	$106.73	$162.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.91 / $317.52 / $561.57	Professional	TC	$196.91	$317.52	$561.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $367.19 / $537.90	Professional		$3.06	$367.19	$537.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $107.78 / $145.09	Professional	26	$0.81	$107.78	$145.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $233.18 / $419.44	Professional	TC	$2.25	$233.18	$419.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $262.27 / $393.42	Professional		$3.06	$262.27	$393.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $82.91 / $124.37	Professional	26	$0.81	$82.91	$124.37
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $152.36 / $269.06	Professional	TC	$2.25	$152.36	$269.06
United Facility/Professional Professional Modifier Low / Median / High Price $260.38 / $382.05 / $646.39	Professional		$260.38	$382.05	$646.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.29 / $82.33 / $169.46	Professional	26	$70.29	$82.33	$169.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.38 / $253.16 / $460.55	Professional	TC	$179.38	$253.16	$460.55