Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $102.85 / $213.71	Facility	26	$73.00	$102.85	$213.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $638.00 / $2,843.42	Professional		$475.00	$638.00	$2,843.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.40 / $145.65 / $565.58	Professional	26	$118.40	$145.65	$565.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $459.39 / $2,207.44	Professional	TC	$335.00	$459.39	$2,207.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $352.94 / $451.21	Professional		$247.06	$352.94	$451.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.12 / $83.12 / $83.12	Professional	26	$83.12	$83.12	$83.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.83 / $569.47 / $816.46	Professional		$477.83	$569.47	$816.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.64 / $106.28 / $164.55	Professional	26	$100.64	$106.28	$164.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.27 / $446.31 / $644.49	Professional	TC	$371.27	$446.31	$644.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.50 / $800.00 / $1,405.00	Professional		$483.50	$800.00	$1,405.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.77 / $131.65 / $200.35	Professional	26	$80.77	$131.65	$200.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $378.60 / $637.99 / $1,145.70	Professional	TC	$378.60	$637.99	$1,145.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $597.61 / $830.98	Professional		$6.30	$597.61	$830.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $134.13 / $180.57	Professional	26	$1.35	$134.13	$180.57
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $463.48 / $668.61	Professional	TC	$4.95	$463.48	$668.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $459.70 / $689.55	Professional		$6.30	$459.70	$689.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $103.18 / $154.77	Professional	26	$1.35	$103.18	$154.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $534.78	Professional	TC	$4.95	$301.58	$534.78
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $738.44 / $1,203.53	Professional		$477.94	$738.44	$1,203.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.77 / $104.34 / $210.74	Professional	26	$86.77	$104.34	$210.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $377.40 / $546.73 / $912.38	Professional	TC	$377.40	$546.73	$912.38