Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $98.05 / $204.37	Facility	26	$73.00	$98.05	$204.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.79 / $522.50 / $2,785.90	Professional		$421.79	$522.50	$2,785.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.25 / $155.58 / $562.00	Professional	26	$103.25	$155.58	$562.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $330.94 / $433.94 / $2,121.39	Professional	TC	$330.94	$433.94	$2,121.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.87 / $307.87 / $393.13	Professional		$307.87	$307.87	$393.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.16 / $79.16 / $79.16	Professional	26	$79.16	$79.16	$79.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.65 / $542.35 / $708.50	Professional		$414.65	$542.35	$708.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.35 / $96.20 / $157.28	Professional	26	$94.35	$96.20	$157.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $318.45 / $416.52 / $544.12	Professional	TC	$318.45	$416.52	$544.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.02 / $671.73 / $1,308.38	Professional		$401.02	$671.73	$1,308.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.98 / $125.12 / $191.60	Professional	26	$76.98	$125.12	$191.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.60 / $538.76 / $1,014.01	Professional	TC	$321.60	$538.76	$1,014.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $528.58 / $734.04	Professional		$6.30	$528.58	$734.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $128.56 / $173.06	Professional	26	$1.35	$128.56	$173.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $400.02 / $581.27	Professional	TC	$4.95	$400.02	$581.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $401.26 / $609.90	Professional		$6.30	$401.26	$609.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $98.89 / $148.34	Professional	26	$1.35	$98.89	$148.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $461.57	Professional	TC	$4.95	$301.58	$461.57
United Facility/Professional Professional Modifier Low / Median / High Price $371.29 / $564.98 / $1,107.04	Professional		$371.29	$564.98	$1,107.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $99.25 / $200.77	Professional	26	$77.31	$99.25	$200.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $481.13 / $987.36	Professional	TC	$320.26	$481.13	$987.36