Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.27 / $73.01 / $87.61	Facility	26	$57.27	$73.01	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.82 / $281.58 / $1,329.67	Professional		$240.82	$281.58	$1,329.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $73.01 / $357.11	Professional	26	$54.56	$73.01	$357.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.52 / $198.43 / $972.61	Professional	TC	$168.52	$198.43	$972.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.82 / $45.82 / $46.09	Professional	26	$45.82	$45.82	$46.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $258.27 / $342.06	Professional		$195.89	$258.27	$342.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $57.15 / $94.03	Professional	26	$55.85	$57.15	$94.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.74 / $193.58 / $281.52	Professional	TC	$138.74	$193.58	$281.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $343.22 / $576.79	Professional		$202.25	$343.22	$576.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.87 / $77.69 / $114.27	Professional	26	$49.87	$77.69	$114.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.37 / $252.34 / $496.00	Professional	TC	$143.37	$252.34	$496.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $274.47 / $418.61	Professional		$3.24	$274.47	$418.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $75.06 / $101.05	Professional	26	$0.65	$75.06	$101.05
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.59 / $182.83 / $313.43	Professional	TC	$2.59	$182.83	$313.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $193.35 / $294.08	Professional		$3.24	$193.35	$294.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $57.74 / $86.61	Professional	26	$0.65	$57.74	$86.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.59 / $152.36 / $207.47	Professional	TC	$2.59	$152.36	$207.47
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $300.60 / $496.76	Professional		$197.86	$300.60	$496.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $58.74 / $117.57	Professional	26	$45.76	$58.74	$117.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $207.66 / $377.08	Professional	TC	$142.94	$207.66	$377.08