Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.33 / $169.46	Facility	26	$73.00	$81.33	$169.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.84 / $475.00 / $1,799.81	Professional		$343.84	$475.00	$1,799.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.70 / $141.22 / $484.00	Professional	26	$93.70	$141.22	$484.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.14 / $335.00 / $1,295.46	Professional	TC	$237.14	$335.00	$1,295.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $65.67 / $65.67	Professional	26	$65.67	$65.67	$65.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $353.81 / $474.32	Professional		$270.51	$353.81	$474.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.29 / $79.69 / $131.12	Professional	26	$78.29	$79.69	$131.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.81 / $249.58 / $394.46	Professional	TC	$190.81	$249.58	$394.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $474.29 / $843.88	Professional		$277.27	$474.29	$843.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $109.29 / $158.87	Professional	26	$70.81	$109.29	$158.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.37 / $368.45 / $737.45	Professional	TC	$194.37	$368.45	$737.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $379.91 / $607.86	Professional		$5.58	$379.91	$607.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $106.20 / $142.96	Professional	26	$1.08	$106.20	$142.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $274.30 / $480.68	Professional	TC	$4.50	$274.30	$480.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $265.56 / $404.13	Professional		$5.58	$265.56	$404.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $81.69 / $122.54	Professional	26	$1.08	$81.69	$122.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $281.60 / $293.89	Professional	TC	$4.50	$281.60	$293.89
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $456.54 / $754.16	Professional		$268.11	$456.54	$754.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $82.46 / $167.68	Professional	26	$66.84	$82.46	$167.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.49 / $337.97 / $654.71	Professional	TC	$190.49	$337.97	$654.71