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 $145.08 / $247.93 / $982.97	Professional		$145.08	$247.93	$982.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.88 / $57.01 / $247.00	Professional	26	$44.88	$57.01	$247.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.69 / $177.61 / $291.63	Professional	TC	$101.69	$177.61	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $98.07 / $124.87	Professional		$85.81	$98.07	$124.87
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 $127.31 / $166.52 / $231.76	Professional		$127.31	$166.52	$231.76
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 $82.55 / $112.33 / $179.66	Professional	TC	$82.55	$112.33	$179.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $225.53 / $383.57	Professional		$131.84	$225.53	$383.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.26 / $64.50 / $90.17	Professional	26	$39.26	$64.50	$90.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.50 / $159.22 / $335.18	Professional	TC	$85.50	$159.22	$335.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $182.78 / $279.20	Professional		$2.34	$182.78	$279.20
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 / $108.59 / $217.85	Professional	TC	$1.73	$108.59	$217.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $127.19 / $194.45	Professional		$2.34	$127.19	$194.45
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 / $125.30	Professional	TC	$1.73	$89.34	$125.30
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $188.82 / $340.56	Professional		$133.75	$188.82	$340.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $48.74 / $94.11	Professional	26	$41.50	$48.74	$94.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.18 / $135.81 / $276.31	Professional	TC	$90.18	$135.81	$276.31