Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.24 / $61.80 / $74.16	Facility	26	$49.24	$61.80	$74.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $246.41 / $759.00	Professional		$159.69	$246.41	$759.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $61.80 / $214.00	Professional	26	$49.60	$61.80	$214.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.88 / $173.87 / $418.09	Professional	TC	$100.88	$173.87	$418.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $104.56 / $128.37	Professional		$101.03	$104.56	$128.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $39.59 / $96.90	Professional	26	$38.14	$39.59	$96.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $167.73 / $228.41	Professional		$130.81	$167.73	$228.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.06 / $48.57 / $79.92	Professional	26	$48.06	$48.57	$79.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.23 / $106.31 / $170.37	Professional	TC	$82.23	$106.31	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $215.24 / $379.25	Professional		$134.47	$215.24	$379.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.76 / $66.23 / $96.74	Professional	26	$42.76	$66.23	$96.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.38 / $148.13 / $293.77	Professional	TC	$83.38	$148.13	$293.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $185.23 / $250.00	Professional		$2.29	$185.23	$250.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $64.29 / $86.54	Professional	26	$0.54	$64.29	$86.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $107.72 / $164.31	Professional	TC	$1.76	$107.72	$164.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $130.69 / $198.47	Professional		$2.29	$130.69	$198.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $49.45 / $74.18	Professional	26	$0.54	$49.45	$74.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $89.34 / $124.29	Professional	TC	$1.76	$89.34	$124.29
United Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $193.55 / $328.68	Professional		$125.47	$193.55	$328.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $50.35 / $100.76	Professional	26	$39.75	$50.35	$100.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.61 / $102.26 / $267.95	Professional	TC	$77.61	$102.26	$267.95