Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.33 / $70.06 / $84.08	Facility	26	$55.33	$70.06	$84.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $305.20 / $1,140.00	Professional		$208.33	$305.20	$1,140.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.44 / $74.89 / $314.00	Professional	26	$54.44	$74.89	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.47 / $229.91 / $795.03	Professional	TC	$138.47	$229.91	$795.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $254.07 / $254.07	Professional		$254.07	$254.07	$254.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.55 / $44.55 / $56.08	Professional	26	$44.55	$44.55	$56.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $224.07 / $293.27	Professional		$167.95	$224.07	$293.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $54.92 / $90.37	Professional	26	$53.62	$54.92	$90.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.03 / $153.62 / $223.70	Professional	TC	$113.03	$153.62	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $290.64 / $508.64	Professional		$171.98	$290.64	$508.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $73.83 / $109.67	Professional	26	$48.22	$73.83	$109.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.74 / $206.32 / $427.89	Professional	TC	$116.74	$206.32	$427.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $236.56 / $350.80	Professional		$2.70	$236.56	$350.80
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 / $158.52 / $275.00	Professional	TC	$2.06	$158.52	$275.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $167.15 / $253.46	Professional		$2.70	$167.15	$253.46
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 / $152.36 / $169.85	Professional	TC	$2.06	$152.36	$169.85
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $255.92 / $406.12	Professional		$169.95	$255.92	$406.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.76 / $55.20 / $113.64	Professional	26	$43.76	$55.20	$113.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.87 / $176.00 / $338.36	Professional	TC	$116.87	$176.00	$338.36