Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $57.01 / $68.41	Facility	26	$45.08	$57.01	$68.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $247.93 / $900.55	Professional		$144.18	$247.93	$900.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $57.01 / $247.28	Professional	26	$45.25	$57.01	$247.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.49 / $177.61 / $293.55	Professional	TC	$102.49	$177.61	$293.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $98.56 / $125.50	Professional		$98.56	$98.56	$125.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $66.72 / $98.23	Professional	26	$36.07	$66.72	$98.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $167.35 / $232.78	Professional		$127.95	$167.35	$232.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $51.08 / $75.36	Professional	26	$44.76	$51.08	$75.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $113.20 / $180.68	Professional	TC	$83.18	$113.20	$180.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $229.82 / $390.24	Professional		$132.84	$229.82	$390.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.64 / $67.11 / $90.17	Professional	26	$39.64	$67.11	$90.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.50 / $160.31 / $338.86	Professional	TC	$86.50	$160.31	$338.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $183.72 / $285.77	Professional		$2.34	$183.72	$285.77
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $59.93 / $80.68	Professional	26	$0.61	$59.93	$80.68
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.73 / $109.46 / $220.10	Professional	TC	$1.73	$109.46	$220.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $127.84 / $195.45	Professional		$2.34	$127.84	$195.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $46.10 / $69.15	Professional	26	$0.61	$46.10	$69.15
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.73 / $89.34 / $126.30	Professional	TC	$1.73	$89.34	$126.30
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $203.68 / $341.45	Professional		$134.36	$203.68	$341.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $50.87 / $93.28	Professional	26	$41.50	$50.87	$93.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.79 / $136.72 / $277.20	Professional	TC	$90.79	$136.72	$277.20