Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.11 / $170.81	Facility	26	$73.00	$81.11	$170.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.02 / $494.18 / $2,231.02	Professional		$423.02	$494.18	$2,231.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.43 / $140.00 / $457.00	Professional	26	$106.43	$140.00	$457.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.60 / $348.53 / $1,724.84	Professional	TC	$316.60	$348.53	$1,724.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $159.66 / $159.66 / $159.66	Professional	26	$159.66	$159.66	$159.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $418.50 / $571.79	Professional		$334.64	$418.50	$571.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.05 / $80.31 / $132.16	Professional	26	$80.05	$80.31	$132.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.31 / $324.23 / $454.96	Professional	TC	$254.31	$324.23	$454.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.35 / $536.95 / $832.79	Professional		$341.35	$536.95	$832.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.18 / $110.12 / $160.13	Professional	26	$71.18	$110.12	$160.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.10 / $417.31 / $687.31	Professional	TC	$259.10	$417.31	$687.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $467.91 / $601.60	Professional		$5.27	$467.91	$601.60
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $106.63 / $143.54	Professional	26	$0.99	$106.63	$143.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $363.17 / $500.00	Professional	TC	$4.28	$363.17	$500.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $334.22 / $501.33	Professional		$5.27	$334.22	$501.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $82.02 / $123.03	Professional	26	$0.99	$82.02	$123.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $252.20 / $378.30	Professional	TC	$4.28	$252.20	$378.30
United Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $444.64 / $735.08	Professional		$331.61	$444.64	$735.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $83.92 / $166.84	Professional	26	$65.37	$83.92	$166.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.68 / $368.59 / $594.88	Professional	TC	$253.68	$368.59	$594.88