Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.47 / $65.80 / $78.95	Facility	26	$52.47	$65.80	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $275.00 / $1,093.44	Professional		$167.29	$275.00	$1,093.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.17 / $83.57 / $327.68	Professional	26	$53.17	$83.57	$327.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.68 / $224.62 / $795.03	Professional	TC	$137.68	$224.62	$795.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $248.73 / $248.73	Professional		$160.56	$248.73	$248.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.13 / $81.33 / $114.33	Professional	26	$42.13	$81.33	$114.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $218.68 / $287.17	Professional		$164.46	$218.68	$287.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $51.75 / $85.15	Professional	26	$51.08	$51.75	$85.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.71 / $153.19 / $216.32	Professional	TC	$112.71	$153.19	$216.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $279.29 / $456.47	Professional		$169.83	$279.29	$456.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $70.59 / $102.99	Professional	26	$45.95	$70.59	$102.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.40 / $199.45 / $366.80	Professional	TC	$116.40	$199.45	$366.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $233.54 / $346.90	Professional		$2.34	$233.54	$346.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $68.98 / $92.86	Professional	26	$0.59	$68.98	$92.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $157.58 / $275.00	Professional	TC	$1.76	$157.58	$275.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $163.63 / $248.45	Professional		$2.34	$163.63	$248.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.59 / $53.06 / $79.59	Professional	26	$0.59	$53.06	$79.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.76 / $152.36 / $168.84	Professional	TC	$1.76	$152.36	$168.84
United Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $242.14 / $373.91	Professional		$167.19	$242.14	$373.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $53.63 / $107.73	Professional	26	$45.08	$53.63	$107.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.87 / $176.00 / $310.20	Professional	TC	$116.87	$176.00	$310.20