Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.28 / $73.00 / $139.22	Facility	26	$66.28	$73.00	$139.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $477.52 / $1,714.76	Professional		$333.64	$477.52	$1,714.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.79 / $140.00 / $384.00	Professional	26	$84.79	$140.00	$384.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $348.53 / $783.89	Professional	TC	$281.41	$348.53	$783.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $322.16 / $322.16	Professional		$322.16	$322.16	$322.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $372.11 / $584.80	Professional		$277.50	$372.11	$584.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.36 / $68.34 / $107.61	Professional	26	$65.36	$68.34	$107.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.61 / $301.77 / $473.06	Professional	TC	$214.61	$301.77	$473.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.62 / $543.41 / $798.06	Professional		$346.62	$543.41	$798.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $88.84 / $132.56	Professional	26	$52.21	$88.84	$132.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $278.79 / $440.62 / $729.39	Professional	TC	$278.79	$440.62	$729.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $425.00 / $537.46	Professional		$4.95	$425.00	$537.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $85.92 / $115.66	Professional	26	$0.90	$85.92	$115.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $317.07 / $429.86	Professional	TC	$4.05	$317.07	$429.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $310.00 / $465.00	Professional		$4.95	$310.00	$465.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $66.09 / $99.14	Professional	26	$0.90	$66.09	$99.14
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $365.85	Professional	TC	$4.05	$205.94	$365.85
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $442.01 / $745.11	Professional		$342.35	$442.01	$745.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.98 / $67.11 / $137.86	Professional	26	$52.98	$67.11	$137.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $276.36 / $360.46 / $617.42	Professional	TC	$276.36	$360.46	$617.42