Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $104.47 / $217.27	Facility	26	$73.00	$104.47	$217.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $522.50 / $2,129.80	Professional		$400.00	$522.50	$2,129.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.07 / $200.20 / $633.00	Professional	26	$137.07	$200.20	$633.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.02 / $335.00 / $1,481.37	Professional	TC	$270.02	$335.00	$1,481.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $251.40 / $477.66	Professional		$125.70	$251.40	$477.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.58 / $158.79 / $191.94	Professional	26	$83.58	$158.79	$191.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.72 / $418.18 / $613.57	Professional		$319.72	$418.18	$613.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.23 / $112.98 / $168.21	Professional	26	$102.23	$112.98	$168.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.48 / $284.45 / $488.56	Professional	TC	$217.48	$284.45	$488.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.77 / $560.74 / $1,305.01	Professional		$327.77	$560.74	$1,305.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $150.16 / $208.94	Professional	26	$90.87	$150.16	$208.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.32 / $419.55 / $1,115.83	Professional	TC	$221.32	$419.55	$1,115.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $451.04 / $721.67	Professional		$6.30	$451.04	$721.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $136.31 / $183.49	Professional	26	$1.35	$136.31	$183.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $297.93 / $544.84	Professional	TC	$4.95	$297.93	$544.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $314.25 / $476.49	Professional		$6.30	$314.25	$476.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $104.85 / $157.28	Professional	26	$1.35	$104.85	$157.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $319.22	Professional	TC	$4.95	$301.58	$319.22
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $555.59 / $1,119.79	Professional		$317.50	$555.59	$1,119.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.31 / $113.75 / $216.99	Professional	26	$93.31	$113.75	$216.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.79 / $319.50 / $979.14	Professional	TC	$217.79	$319.50	$979.14