Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $73.72 / $156.12	Facility	26	$73.00	$73.72	$156.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $475.00 / $2,122.76	Professional		$331.25	$475.00	$2,122.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $415.00	Professional	26	$73.00	$140.00	$415.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.49 / $335.00 / $565.00	Professional	TC	$289.49	$335.00	$565.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $233.75 / $233.75	Professional		$233.75	$233.75	$233.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $60.62 / $144.97	Professional	26	$59.17	$60.62	$144.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.54 / $397.43 / $540.87	Professional		$316.54	$397.43	$540.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.13 / $73.34 / $119.91	Professional	26	$71.13	$73.34	$119.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.20 / $311.66 / $415.55	Professional	TC	$243.20	$311.66	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.32 / $510.00 / $825.17	Professional		$321.32	$510.00	$825.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.38 / $94.39 / $146.36	Professional	26	$58.38	$94.39	$146.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.51 / $417.21 / $677.98	Professional	TC	$245.51	$417.21	$677.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $421.58 / $558.91	Professional		$5.58	$421.58	$558.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $97.15 / $130.78	Professional	26	$1.08	$97.15	$130.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $332.57 / $475.00	Professional	TC	$4.50	$332.57	$475.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $305.17 / $468.42	Professional		$5.58	$305.17	$468.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $74.73 / $112.10	Professional	26	$1.08	$74.73	$112.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $356.33 / $372.24	Professional	TC	$4.50	$356.33	$372.24
United Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $458.13 / $709.28	Professional		$315.66	$458.13	$709.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.71 / $77.94 / $153.76	Professional	26	$62.71	$77.94	$153.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.58 / $352.39 / $619.07	Professional	TC	$242.58	$352.39	$619.07