Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.66 / $170.12	Facility	26	$73.00	$81.66	$170.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.09 / $483.24 / $1,829.02	Professional		$350.09	$483.24	$1,829.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.67 / $140.00 / $506.45	Professional	26	$88.67	$140.00	$506.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.96 / $341.47 / $1,322.63	Professional	TC	$242.96	$341.47	$1,322.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $65.91 / $65.91	Professional	26	$65.91	$65.91	$65.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $341.97 / $480.14	Professional		$275.58	$341.97	$480.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $84.00 / $131.63	Professional	26	$80.01	$84.00	$131.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.58 / $247.70 / $394.46	Professional	TC	$195.58	$247.70	$394.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $481.87 / $861.00	Professional		$282.27	$481.87	$861.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $112.65 / $160.94	Professional	26	$70.81	$112.65	$160.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.90 / $377.50 / $748.61	Professional	TC	$198.90	$377.50	$748.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $392.93 / $628.69	Professional		$5.58	$392.93	$628.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $106.91 / $143.91	Professional	26	$1.08	$106.91	$143.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $279.70 / $492.68	Professional	TC	$4.50	$279.70	$492.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $270.41 / $410.48	Professional		$5.58	$270.41	$410.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $82.24 / $123.36	Professional	26	$1.08	$82.24	$123.36
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $287.12 / $299.69	Professional	TC	$4.50	$287.12	$299.69
United Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $467.83 / $762.52	Professional		$272.41	$467.83	$762.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.98 / $88.66 / $169.59	Professional	26	$69.98	$88.66	$169.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.48 / $285.30 / $655.60	Professional	TC	$194.48	$285.30	$655.60