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 $207.18 / $303.73 / $1,133.71	Professional		$207.18	$303.73	$1,133.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $78.39 / $314.00	Professional	26	$54.16	$78.39	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.68 / $229.28 / $788.75	Professional	TC	$137.68	$229.28	$788.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $55.77 / $79.52	Professional	26	$44.17	$55.77	$79.52
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 / $223.03	Professional	TC	$112.07	$165.42	$223.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.68 / $289.07 / $476.48	Professional		$172.68	$289.07	$476.48
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 $116.07 / $204.70 / $410.00	Professional	TC	$116.07	$204.70	$410.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $235.62 / $349.90	Professional		$2.70	$235.62	$349.90
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 / $164.39 / $274.55	Professional	TC	$2.06	$164.39	$274.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $166.23 / $252.45	Professional		$2.70	$166.23	$252.45
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 / $168.84 / $176.13	Professional	TC	$2.06	$168.84	$176.13
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $248.52 / $412.57	Professional		$169.02	$248.52	$412.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.48 / $55.81 / $113.64	Professional	26	$43.48	$55.81	$113.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.94 / $174.60 / $337.92	Professional	TC	$115.94	$174.60	$337.92