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 $141.78 / $247.93 / $986.17	Professional		$141.78	$247.93	$986.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $72.75 / $247.00	Professional	26	$45.25	$72.75	$247.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $177.61 / $418.36	Professional	TC	$102.09	$177.61	$418.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $125.19 / $125.19	Professional		$125.19	$125.19	$125.19
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 $127.63 / $166.94 / $232.10	Professional		$127.63	$166.94	$232.10
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 $82.86 / $112.77 / $179.99	Professional	TC	$82.86	$112.77	$179.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $226.35 / $391.00	Professional		$132.51	$226.35	$391.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.26 / $64.34 / $90.17	Professional	26	$39.26	$64.34	$90.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.16 / $160.31 / $337.02	Professional	TC	$86.16	$160.31	$337.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $183.26 / $280.10	Professional		$2.34	$183.26	$280.10
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 / $109.02 / $218.75	Professional	TC	$1.73	$109.02	$218.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $127.52 / $194.96	Professional		$2.34	$127.52	$194.96
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 / $125.79	Professional	TC	$1.73	$89.34	$125.79
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $202.33 / $340.99	Professional		$134.36	$202.33	$340.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $49.70 / $93.28	Professional	26	$41.50	$49.70	$93.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.10 / $133.19 / $276.75	Professional	TC	$90.10	$133.19	$276.75