Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $69.67 / $83.60	Facility	26	$55.06	$69.67	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $343.39 / $1,398.08	Professional		$279.68	$343.39	$1,398.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $69.67 / $345.02	Professional	26	$52.46	$69.67	$345.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $290.93 / $1,053.10	Professional	TC	$192.00	$290.93	$1,053.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $178.25 / $204.88	Professional		$178.25	$178.25	$204.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $83.69 / $83.69	Professional	26	$44.17	$83.69	$83.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $272.10 / $435.08	Professional		$233.04	$272.10	$435.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $54.61 / $89.85	Professional	26	$53.62	$54.61	$89.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $207.77 / $341.77	Professional	TC	$179.09	$207.77	$341.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $387.84 / $579.74	Professional		$230.26	$387.84	$579.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $74.18 / $109.05	Professional	26	$48.22	$74.18	$109.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.50 / $310.45 / $514.35	Professional	TC	$192.50	$310.45	$514.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $305.72 / $409.74	Professional		$3.11	$305.72	$409.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $72.45 / $97.55	Professional	26	$0.63	$72.45	$97.55
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.48 / $233.26 / $321.01	Professional	TC	$2.48	$233.26	$321.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $235.17 / $352.76	Professional		$3.11	$235.17	$352.76
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $55.74 / $83.61	Professional	26	$0.63	$55.74	$83.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.48 / $152.36 / $269.14	Professional	TC	$2.48	$152.36	$269.14
United Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $304.10 / $520.89	Professional		$220.14	$304.10	$520.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.48 / $59.17 / $110.16	Professional	26	$43.48	$59.17	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.12 / $251.41 / $419.32	Professional	TC	$176.12	$251.41	$419.32