Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $73.72 / $156.12	Facility	26	$73.00	$73.72	$156.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.74 / $555.73 / $2,129.21	Professional		$366.74	$555.73	$2,129.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $420.00	Professional	26	$73.00	$140.00	$420.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $294.30 / $348.53 / $565.00	Professional	TC	$294.30	$348.53	$565.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $114.27 / $144.97	Professional	26	$59.17	$114.27	$144.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $400.02 / $541.95	Professional		$317.18	$400.02	$541.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.63 / $73.34 / $119.91	Professional	26	$71.63	$73.34	$119.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.84 / $314.25 / $416.64	Professional	TC	$243.84	$314.25	$416.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $521.00 / $829.06	Professional		$321.64	$521.00	$829.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.14 / $94.39 / $146.36	Professional	26	$58.14	$94.39	$146.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.05 / $418.25 / $679.82	Professional	TC	$248.05	$418.25	$679.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $425.40 / $567.20	Professional		$5.58	$425.40	$567.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $97.15 / $130.78	Professional	26	$1.08	$97.15	$130.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $336.31 / $475.00	Professional	TC	$4.50	$336.31	$475.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $306.79 / $472.43	Professional		$5.58	$306.79	$472.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $74.73 / $112.10	Professional	26	$1.08	$74.73	$112.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $360.33 / $376.44	Professional	TC	$4.50	$360.33	$376.44
United Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $429.35 / $713.24	Professional		$280.33	$429.35	$713.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.04 / $74.79 / $154.90	Professional	26	$59.04	$74.79	$154.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.09 / $359.54 / $623.04	Professional	TC	$245.09	$359.54	$623.04