Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.16 / $73.00 / $128.33	Facility	26	$61.16	$73.00	$128.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $475.00 / $2,027.90	Professional		$306.00	$475.00	$2,027.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $595.50	Professional	26	$73.00	$140.00	$595.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.12 / $335.00 / $1,084.65	Professional	TC	$209.12	$335.00	$1,084.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $167.86 / $214.29	Professional		$167.86	$167.86	$214.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $90.52 / $133.27	Professional	26	$49.13	$90.52	$133.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $191.89 / $191.89 / $191.89	Professional	TC	$191.89	$191.89	$191.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.83 / $299.48 / $388.31	Professional		$223.83	$299.48	$388.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $60.32 / $98.62	Professional	26	$59.19	$60.32	$98.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $343.65 / $404.29 / $727.68	Professional	50	$343.65	$404.29	$727.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.51 / $222.53 / $325.20	Professional	TC	$163.51	$222.53	$325.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $400.00 / $751.32	Professional		$234.47	$400.00	$751.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $78.23 / $120.30	Professional	26	$48.18	$78.23	$120.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.16 / $322.17 / $623.00	Professional	TC	$171.16	$322.17	$623.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $320.33 / $510.18	Professional		$4.95	$320.33	$510.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $80.28 / $108.06	Professional	26	$0.90	$80.28	$108.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $224.99 / $425.00	Professional	TC	$4.05	$224.99	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $218.58 / $333.69	Professional		$4.95	$218.58	$333.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $61.75 / $92.63	Professional	26	$0.90	$61.75	$92.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $205.94 / $241.07	Professional	TC	$4.05	$205.94	$241.07
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $366.99 / $621.12	Professional		$201.63	$366.99	$621.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $64.59 / $126.58	Professional	26	$50.33	$64.59	$126.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.80 / $274.23 / $567.60	Professional	TC	$163.80	$274.23	$567.60