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 $366.76 / $482.69 / $2,125.61	Professional		$366.76	$482.69	$2,125.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.31 / $200.20 / $577.00	Professional	26	$113.31	$200.20	$577.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.19 / $335.00 / $1,438.72	Professional	TC	$269.19	$335.00	$1,438.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.17 / $250.88 / $476.67	Professional		$242.17	$250.88	$476.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $158.79 / $191.94	Professional	26	$84.38	$158.79	$191.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $203.93 / $203.93 / $203.93	Professional	TC	$203.93	$203.93	$203.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $416.94 / $604.15	Professional		$318.77	$416.94	$604.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.23 / $103.76 / $168.21	Professional	26	$102.23	$103.76	$168.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.53 / $283.20 / $488.55	Professional	TC	$216.53	$283.20	$488.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $559.07 / $1,288.16	Professional		$327.10	$559.07	$1,288.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $143.87 / $203.70	Professional	26	$90.87	$143.87	$203.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.65 / $418.26 / $1,115.28	Professional	TC	$220.65	$418.26	$1,115.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $447.90 / $706.62	Professional		$6.30	$447.90	$706.62
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 / $541.52	Professional	TC	$4.95	$297.93	$541.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $313.60 / $476.49	Professional		$6.30	$313.60	$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 $287.75 / $547.02 / $1,192.78	Professional		$287.75	$547.02	$1,192.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.82 / $103.97 / $215.39	Professional	26	$91.82	$103.97	$215.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.18 / $337.05 / $979.15	Professional	TC	$217.18	$337.05	$979.15