Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $98.05 / $203.71	Facility	26	$73.00	$98.05	$203.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.27 / $522.50 / $2,623.89	Professional		$412.27	$522.50	$2,623.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.27 / $155.58 / $550.00	Professional	26	$106.27	$155.58	$550.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $398.92 / $1,963.66	Professional	TC	$335.00	$398.92	$1,963.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.20 / $572.63 / $572.63	Professional		$369.20	$572.63	$572.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.16 / $79.16 / $79.16	Professional	26	$79.16	$79.16	$79.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.52 / $510.79 / $667.27	Professional		$390.52	$510.79	$667.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.35 / $95.88 / $157.76	Professional	26	$94.35	$95.88	$157.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.64 / $385.38 / $503.44	Professional	TC	$294.64	$385.38	$503.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.39 / $672.00 / $1,249.11	Professional		$395.39	$672.00	$1,249.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.95 / $125.12 / $190.98	Professional	26	$76.95	$125.12	$190.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.61 / $505.64 / $1,058.15	Professional	TC	$299.61	$505.64	$1,058.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $500.00 / $691.28	Professional		$6.30	$500.00	$691.28
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $128.13 / $172.48	Professional	26	$1.35	$128.13	$172.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $367.50 / $540.28	Professional	TC	$4.95	$367.50	$540.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $376.73 / $571.86	Professional		$6.30	$376.73	$571.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $98.56 / $147.84	Professional	26	$1.35	$98.56	$147.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $424.04	Professional	TC	$4.95	$301.58	$424.04
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $687.51 / $1,074.47	Professional		$389.59	$687.51	$1,074.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.44 / $96.99 / $202.96	Professional	26	$82.44	$96.99	$202.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $418.36 / $961.64	Professional	TC	$296.33	$418.36	$961.64