Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.48 / $73.00 / $129.65	Facility	26	$61.48	$73.00	$129.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.74 / $475.00 / $2,041.90	Professional		$331.74	$475.00	$2,041.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $140.00 / $383.58	Professional	26	$73.06	$140.00	$383.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.45 / $335.00 / $1,347.66	Professional	TC	$276.45	$335.00	$1,347.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $236.67 / $449.68	Professional		$226.14	$236.67	$449.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.37 / $61.09 / $88.64	Professional	26	$49.37	$61.09	$88.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $340.78 / $531.52	Professional		$272.95	$340.78	$531.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.68 / $60.96 / $99.66	Professional	26	$58.68	$60.96	$99.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.94 / $267.45 / $419.35	Professional	TC	$214.94	$267.45	$419.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $493.06 / $780.29	Professional		$311.38	$493.06	$780.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $78.23 / $121.55	Professional	26	$48.66	$78.23	$121.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.17 / $401.62 / $666.77	Professional	TC	$248.17	$401.62	$666.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $424.63 / $531.36	Professional		$4.95	$424.63	$531.36
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $81.15 / $109.24	Professional	26	$0.90	$81.15	$109.24
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $313.16 / $429.86	Professional	TC	$4.05	$313.16	$429.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $295.83 / $454.97	Professional		$4.95	$295.83	$454.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $62.42 / $93.63	Professional	26	$0.90	$62.42	$93.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $361.34	Professional	TC	$4.05	$205.94	$361.34
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $420.33 / $675.24	Professional		$304.61	$420.33	$675.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.86 / $62.02 / $126.80	Professional	26	$50.86	$62.02	$126.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.79 / $330.01 / $575.96	Professional	TC	$243.79	$330.01	$575.96