Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $69.67 / $83.60	Facility	26	$55.06	$69.67	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $282.06 / $1,131.67	Professional		$206.38	$282.06	$1,131.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $74.25 / $287.00	Professional	26	$52.46	$74.25	$287.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.88 / $218.45 / $786.65	Professional	TC	$136.88	$218.45	$786.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.68 / $251.68 / $251.68	Professional		$251.68	$251.68	$251.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $44.17 / $44.17	Professional	26	$44.17	$44.17	$44.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $226.53 / $291.06	Professional		$166.68	$226.53	$291.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $54.61 / $89.85	Professional	26	$53.62	$54.61	$89.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.07 / $165.42 / $223.70	Professional	TC	$112.07	$165.42	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $288.55 / $505.51	Professional		$171.04	$288.55	$505.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $73.83 / $109.05	Professional	26	$48.22	$73.83	$109.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.74 / $204.16 / $427.89	Professional	TC	$115.74	$204.16	$427.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $235.14 / $349.45	Professional		$2.70	$235.14	$349.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $72.45 / $97.55	Professional	26	$0.63	$72.45	$97.55
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.06 / $163.91 / $274.10	Professional	TC	$2.06	$163.91	$274.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $165.58 / $251.94	Professional		$2.70	$165.58	$251.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $55.74 / $83.61	Professional	26	$0.63	$55.74	$83.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.06 / $168.35 / $175.62	Professional	TC	$2.06	$168.35	$175.62
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $259.36 / $405.68	Professional		$168.72	$259.36	$405.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.39 / $60.56 / $110.16	Professional	26	$47.39	$60.56	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $169.64 / $338.36	Professional	TC	$115.64	$169.64	$338.36