Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $657.90 / $706.16	Facility		$157.94	$657.90	$706.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $12.02 / $91.29	Facility	26	$10.30	$12.02	$91.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.79 / $105.50 / $379.33	Facility	TC	$34.79	$105.50	$379.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $50.90 / $169.00	Professional		$38.22	$50.90	$169.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $15.37 / $50.00	Professional	26	$10.75	$15.37	$50.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $39.61 / $121.00	Professional	TC	$28.39	$39.61	$121.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $30.71 / $58.35	Professional		$29.56	$30.71	$58.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $15.24 / $22.44	Professional	26	$8.24	$15.24	$22.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.25 / $34.25 / $34.25	Professional	TC	$34.25	$34.25	$34.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $50.09 / $50.09	Facility		$40.07	$50.09	$50.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $39.06 / $51.56	Professional		$34.49	$39.06	$51.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $12.01 / $14.60	Professional	26	$8.83	$12.01	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $27.30 / $35.46	Professional	TC	$24.57	$27.30	$35.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $168.41 / $498.40	Facility		$89.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $44.48 / $74.01	Professional		$29.64	$44.48	$74.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $14.00 / $20.60	Professional	26	$9.59	$14.00	$20.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $31.38 / $54.96	Professional	TC	$21.96	$31.38	$54.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $47.60 / $66.25	Professional		$0.27	$47.60	$66.25
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $13.18 / $17.20	Professional	26	$0.09	$13.18	$17.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $33.78 / $46.99	Professional	TC	$0.18	$33.78	$46.99
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $38.39 / $59.51	Professional		$0.27	$38.39	$59.51
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.30 / $15.45	Professional	26	$0.09	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $29.37 / $44.06	Professional	TC	$0.18	$29.37	$44.06
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $38.61 / $70.29	Professional		$28.12	$38.61	$70.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.55 / $20.51	Professional	26	$7.78	$11.55	$20.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $27.07 / $49.27	Professional	TC	$19.61	$27.07	$49.27