Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $498.02 / $807.03	Facility		$24.65	$498.02	$807.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $9.41 / $10.25	Facility	26	$8.03	$9.41	$10.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.15 / $149.97 / $400.74	Facility	TC	$29.15	$149.97	$400.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $38.22 / $149.00	Professional		$18.19	$38.22	$149.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.28 / $41.36	Professional	26	$7.78	$11.28	$41.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.29 / $114.00	Professional	TC	$23.51	$29.29	$114.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $26.86 / $55.93	Professional		$24.37	$26.86	$55.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $11.90 / $17.52	Professional	26	$6.43	$11.90	$17.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.56 / $36.56 / $36.56	Professional	50	$36.56	$36.56	$36.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $41.24 / $41.24	Facility		$32.99	$41.24	$41.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $33.95 / $43.87	Professional		$28.53	$33.95	$43.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.09 / $11.40	Professional	26	$6.98	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.65 / $44.61 / $59.92	Professional	50	$37.65	$44.61	$59.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $25.64 / $32.83	Professional	TC	$21.06	$25.64	$32.83
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 $26.71 / $40.72 / $60.91	Professional		$26.71	$40.72	$60.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.75 / $15.84	Professional	26	$6.98	$10.75	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $29.15 / $45.58	Professional	TC	$20.16	$29.15	$45.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $41.98 / $55.08	Professional		$0.24	$41.98	$55.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.38 / $13.28	Professional	26	$0.09	$10.38	$13.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $30.86 / $41.23	Professional	TC	$0.15	$30.86	$41.23
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 / $31.60 / $49.47	Professional		$0.24	$31.60	$49.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.30 / $12.45	Professional	26	$0.09	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $24.69 / $37.04	Professional	TC	$0.15	$24.69	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.40 / $57.15	Professional		$25.30	$31.40	$57.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $9.02 / $16.25	Professional	26	$6.66	$9.02	$16.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $22.38 / $41.40	Professional	TC	$19.04	$22.38	$41.40