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 $385.39 / $494.18 / $2,133.98	Professional		$385.39	$494.18	$2,133.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.07 / $243.60 / $618.00	Professional	26	$137.07	$243.60	$618.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.86 / $335.00 / $565.00	Professional	TC	$270.86	$335.00	$565.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $251.92 / $478.63	Professional		$251.92	$251.92	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $158.79 / $191.94	Professional	26	$84.38	$158.79	$191.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.04 / $418.60 / $613.57	Professional		$320.04	$418.60	$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 $217.80 / $284.88 / $488.56	Professional	TC	$217.80	$284.88	$488.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.43 / $561.29 / $1,249.38	Professional		$328.43	$561.29	$1,249.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $144.61 / $208.94	Professional	26	$90.87	$144.61	$208.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.87 / $415.19 / $1,090.19	Professional	TC	$221.87	$415.19	$1,090.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $446.85 / $670.27	Professional		$6.30	$446.85	$670.27
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 / $298.87 / $500.00	Professional	TC	$4.95	$298.87	$500.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $314.89 / $477.50	Professional		$6.30	$314.89	$477.50
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 / $320.22	Professional	TC	$4.95	$301.58	$320.22
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $523.66 / $1,114.15	Professional		$318.11	$523.66	$1,114.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.09 / $106.76 / $216.99	Professional	26	$92.09	$106.76	$216.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.40 / $320.39 / $942.47	Professional	TC	$218.40	$320.39	$942.47