Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $99.99 / $208.38	Facility	26	$73.00	$99.99	$208.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.33 / $475.00 / $2,809.89	Professional		$371.33	$475.00	$2,809.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $173.65 / $585.00	Professional	26	$109.35	$173.65	$585.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $296.67 / $368.50 / $1,603.52	Professional	TC	$296.67	$368.50	$1,603.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.54 / $280.89 / $502.31	Professional		$254.54	$280.89	$502.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.70 / $154.97 / $217.88	Professional	26	$80.70	$154.97	$217.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $443.51 / $599.42	Professional		$339.09	$443.51	$599.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.10 / $99.12 / $160.40	Professional	26	$98.10	$99.12	$160.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $240.98 / $315.19 / $498.33	Professional	TC	$240.98	$315.19	$498.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $610.21 / $1,319.60	Professional		$356.01	$610.21	$1,319.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.55 / $129.82 / $195.35	Professional	26	$78.55	$129.82	$195.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.81 / $473.66 / $1,066.26	Professional	TC	$252.81	$473.66	$1,066.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $470.53 / $739.40	Professional		$6.30	$470.53	$739.40
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $130.65 / $175.88	Professional	26	$1.35	$130.65	$175.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $321.70 / $580.85	Professional	TC	$4.95	$321.70	$580.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $330.47 / $500.57	Professional		$6.30	$330.47	$500.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $100.50 / $150.75	Professional	26	$1.35	$100.50	$150.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $349.80	Professional	TC	$4.95	$301.58	$349.80
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $573.44 / $1,198.93	Professional		$337.13	$573.44	$1,198.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.03 / $99.45 / $205.45	Professional	26	$82.03	$99.45	$205.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.02 / $393.49 / $988.23	Professional	TC	$242.02	$393.49	$988.23