Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.74 / $69.67 / $83.60	Facility	26	$54.74	$69.67	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.82 / $350.87 / $1,353.08	Professional		$238.82	$350.87	$1,353.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $69.67 / $342.93	Professional	26	$52.78	$69.67	$342.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.73 / $266.42 / $1,010.20	Professional	TC	$169.73	$266.42	$1,010.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $43.93 / $80.48	Professional	26	$43.93	$43.93	$80.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $255.41 / $341.92	Professional		$193.04	$255.41	$341.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $54.61 / $89.85	Professional	26	$53.62	$54.61	$89.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.43 / $188.55 / $287.23	Professional	TC	$138.43	$188.55	$287.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $335.44 / $570.89	Professional		$199.64	$335.44	$570.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $73.83 / $109.05	Professional	26	$47.99	$73.83	$109.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.37 / $258.76 / $479.91	Professional	TC	$143.37	$258.76	$479.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $278.36 / $434.94	Professional		$2.84	$278.36	$434.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $72.02 / $96.95	Professional	26	$0.63	$72.02	$96.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.21 / $187.61 / $330.82	Professional	TC	$2.21	$187.61	$330.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $191.78 / $291.57	Professional		$2.84	$191.78	$291.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $55.40 / $83.10	Professional	26	$0.63	$55.40	$83.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.21 / $152.36 / $208.46	Professional	TC	$2.21	$152.36	$208.46
United Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $303.04 / $474.79	Professional		$201.24	$303.04	$474.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.94 / $114.83	Professional	26	$46.77	$61.94	$114.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $217.80 / $406.99	Professional	TC	$148.47	$217.80	$406.99