Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.47 / $65.40 / $78.48	Facility	26	$52.47	$65.40	$78.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $284.00 / $1,258.23	Professional		$202.51	$284.00	$1,258.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $74.50 / $295.00	Professional	26	$50.07	$74.50	$295.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.14 / $222.12 / $964.24	Professional	TC	$178.14	$222.12	$964.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.11 / $273.11 / $273.11	Professional		$273.11	$273.11	$273.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.13 / $42.13 / $42.13	Professional	26	$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $256.91 / $341.23	Professional		$199.70	$256.91	$341.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $51.43 / $84.62	Professional	26	$51.08	$51.43	$84.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.27 / $189.00 / $253.34	Professional	TC	$148.27	$189.00	$253.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $307.95 / $456.47	Professional		$190.28	$307.95	$456.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $70.59 / $102.37	Professional	26	$45.95	$70.59	$102.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.76 / $234.51 / $373.52	Professional	TC	$141.76	$234.51	$373.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $273.56 / $348.93	Professional		$2.34	$273.56	$348.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $68.98 / $92.86	Professional	26	$0.59	$68.98	$92.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $204.86 / $270.05	Professional	TC	$1.76	$204.86	$270.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $196.31 / $299.08	Professional		$2.34	$196.31	$299.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $53.06 / $79.59	Professional	26	$0.59	$53.06	$79.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $219.50 / $229.23	Professional	TC	$1.76	$219.50	$229.23
United Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $241.00 / $417.95	Professional		$191.57	$241.00	$417.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.05 / $53.26 / $107.73	Professional	26	$42.05	$53.26	$107.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.61 / $181.75 / $314.14	Professional	TC	$140.61	$181.75	$314.14