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 $400.00 / $598.50 / $2,559.56	Professional		$400.00	$598.50	$2,559.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.98 / $157.90 / $550.00	Professional	26	$124.98	$157.90	$550.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $438.72 / $2,020.41	Professional	TC	$335.00	$438.72	$2,020.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.98 / $314.62 / $574.10	Professional		$289.98	$314.62	$574.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.75 / $75.75 / $79.16	Professional	26	$75.75	$75.75	$79.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $492.81 / $669.44	Professional		$391.79	$492.81	$669.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.02 / $96.20 / $157.28	Professional	26	$94.02	$96.20	$157.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.58 / $379.68 / $505.06	Professional	TC	$295.58	$379.68	$505.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $672.00 / $1,249.11	Professional		$397.06	$672.00	$1,249.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.95 / $124.63 / $191.60	Professional	26	$76.95	$124.63	$191.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.48 / $506.69 / $1,058.15	Professional	TC	$298.48	$506.69	$1,058.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $500.00 / $691.72	Professional		$6.30	$500.00	$691.72
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 / $369.23 / $540.70	Professional	TC	$4.95	$369.23	$540.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $377.70 / $574.37	Professional		$6.30	$377.70	$574.37
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 / $426.03	Professional	TC	$4.95	$301.58	$426.03
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $550.87 / $1,156.77	Professional		$390.20	$550.87	$1,156.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.05 / $103.36 / $201.47	Professional	26	$78.05	$103.36	$201.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.94 / $455.74 / $961.64	Professional	TC	$296.94	$455.74	$961.64