Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $482.33 / $920.88	Facility		$98.90	$482.33	$920.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $10.16 / $87.01	Facility	26	$8.68	$10.16	$87.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.76 / $256.27 / $835.50	Facility	TC	$30.76	$256.27	$835.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $42.46 / $134.00	Professional		$10.48	$42.46	$134.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $12.94 / $46.64	Professional	26	$8.56	$12.94	$46.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.27 / $61.66 / $113.04	Professional	50	$19.27	$61.66	$113.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $39.24 / $133.37	Professional	TC	$21.69	$39.24	$133.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $26.83 / $50.98	Professional		$25.85	$26.83	$50.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $12.85 / $19.27	Professional	26	$6.95	$12.85	$19.27
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.77 / $40.25 / $40.25	Professional	50	$38.77	$40.25	$40.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Professional	TC	$24.24	$24.24	$24.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $43.78 / $43.78	Facility		$35.02	$43.78	$43.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $31.74 / $47.00	Professional		$29.71	$31.74	$47.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.08 / $12.23	Professional	26	$7.53	$10.08	$12.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.92 / $47.22 / $63.55	Professional	50	$39.92	$47.22	$63.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $23.72 / $31.79	Professional	TC	$20.07	$23.72	$31.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $168.41 / $498.40	Facility		$89.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $39.28 / $64.65	Professional		$26.70	$39.28	$64.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $11.85 / $17.09	Professional	26	$7.92	$11.85	$17.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $27.74 / $47.56	Professional	TC	$18.48	$27.74	$47.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $42.15 / $59.55	Professional		$0.24	$42.15	$59.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $11.29 / $14.98	Professional	26	$0.10	$11.29	$14.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $30.69 / $42.70	Professional	TC	$0.14	$30.69	$42.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $33.54 / $53.49	Professional		$0.24	$33.54	$53.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $8.97 / $13.46	Professional	26	$0.10	$8.97	$13.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $26.69 / $40.04	Professional	TC	$0.14	$26.69	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $33.56 / $58.58	Professional		$25.69	$33.56	$58.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.74 / $17.73	Professional	26	$6.74	$9.74	$17.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $23.82 / $41.59	Professional	TC	$16.48	$23.82	$41.59