Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $57.01 / $68.41	Facility	26	$45.08	$57.01	$68.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $220.95 / $896.36	Professional		$49.54	$220.95	$896.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $57.01 / $245.00	Professional	26	$46.61	$57.01	$245.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $177.61 / $308.00	Professional	TC	$102.09	$177.61	$308.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $102.01 / $102.01	Professional		$98.32	$102.01	$102.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.47 / $68.52 / $98.23	Professional	26	$44.47	$68.52	$98.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $153.02 / $153.02 / $153.02	Professional	50	$153.02	$153.02	$153.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $166.52 / $225.11	Professional		$127.31	$166.52	$225.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $47.90 / $73.65	Professional	26	$44.76	$47.90	$73.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.32 / $228.62 / $418.95	Professional	50	$194.32	$228.62	$418.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.55 / $112.33 / $173.62	Professional	TC	$82.55	$112.33	$173.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $223.48 / $364.29	Professional		$132.16	$223.48	$364.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.64 / $63.62 / $90.17	Professional	26	$39.64	$63.62	$90.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.83 / $159.22 / $301.18	Professional	TC	$85.83	$159.22	$301.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $187.16 / $279.35	Professional		$2.06	$187.16	$279.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $59.93 / $80.68	Professional	26	$0.54	$59.93	$80.68
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.53 / $113.21 / $216.95	Professional	TC	$1.53	$113.21	$216.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $127.52 / $194.96	Professional		$2.06	$127.52	$194.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $46.10 / $69.15	Professional	26	$0.54	$46.10	$69.15
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.53 / $89.34 / $125.79	Professional	TC	$1.53	$89.34	$125.79
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $197.61 / $313.27	Professional		$133.75	$197.61	$313.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $51.25 / $94.81	Professional	26	$39.75	$51.25	$94.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.18 / $148.12 / $252.56	Professional	TC	$90.18	$148.12	$252.56