Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.33 / $101.91 / $122.29	Facility	26	$81.33	$101.91	$122.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.31 / $388.27 / $1,559.29	Professional		$312.31	$388.27	$1,559.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $102.70 / $506.18	Professional	26	$78.34	$102.70	$506.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.41 / $309.93 / $1,053.10	Professional	TC	$210.41	$309.93	$1,053.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $65.72 / $65.72	Professional	26	$65.72	$65.72	$65.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $319.79 / $519.16	Professional		$274.32	$319.79	$519.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.90 / $80.06 / $130.81	Professional	26	$78.90	$80.06	$130.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.40 / $225.15 / $382.46	Professional	TC	$192.40	$225.15	$382.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $470.00 / $749.76	Professional		$275.00	$470.00	$749.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $101.59 / $159.51	Professional	26	$63.97	$101.59	$159.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.33 / $344.05 / $559.58	Professional	TC	$197.33	$344.05	$559.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $342.17 / $534.64	Professional		$3.06	$342.17	$534.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $106.48 / $143.34	Professional	26	$0.81	$106.48	$143.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $232.83 / $388.77	Professional	TC	$2.25	$232.83	$388.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $261.00 / $391.50	Professional		$3.06	$261.00	$391.50
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $81.91 / $122.87	Professional	26	$0.81	$81.91	$122.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $152.36 / $268.64	Professional	TC	$2.25	$152.36	$268.64
United Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $393.23 / $617.42	Professional		$271.11	$393.23	$617.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $81.06 / $166.84	Professional	26	$65.37	$81.06	$166.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.89 / $274.05 / $517.00	Professional	TC	$195.89	$274.05	$517.00