Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $78.20 / $164.80	Facility	26	$73.00	$78.20	$164.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.40 / $475.00 / $1,800.24	Professional		$341.40	$475.00	$1,800.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.19 / $137.33 / $490.17	Professional	26	$85.19	$137.33	$490.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.80 / $335.93 / $1,310.07	Professional	TC	$238.80	$335.93	$1,310.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.92 / $202.92 / $202.92	Professional		$202.92	$202.92	$202.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Professional	26	$62.89	$62.89	$62.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $360.51 / $471.87	Professional		$269.87	$360.51	$471.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.89 / $77.47 / $127.46	Professional	26	$75.89	$77.47	$127.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.40 / $261.66 / $394.46	Professional	TC	$192.40	$261.66	$394.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $473.26 / $844.26	Professional		$283.23	$473.26	$844.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $104.11 / $154.50	Professional	26	$61.69	$104.11	$154.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.62 / $377.92 / $739.13	Professional	TC	$201.62	$377.92	$739.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $378.86 / $606.17	Professional		$5.58	$378.86	$606.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $102.71 / $138.27	Professional	26	$1.08	$102.71	$138.27
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $276.27 / $482.33	Professional	TC	$4.50	$276.27	$482.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $263.72 / $402.12	Professional		$5.58	$263.72	$402.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $79.01 / $118.52	Professional	26	$1.08	$79.01	$118.52
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $283.61 / $296.01	Professional	TC	$4.50	$283.61	$296.01
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $455.10 / $692.12	Professional		$268.11	$455.10	$692.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.09 / $79.91 / $163.03	Professional	26	$63.09	$79.91	$163.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $356.47 / $647.24	Professional	TC	$192.64	$356.47	$647.24