Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $72.87 / $87.44	Facility	26	$57.60	$72.87	$87.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $339.97 / $1,201.00	Professional		$256.32	$339.97	$1,201.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $83.00 / $361.29	Professional	26	$58.24	$83.00	$361.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.38 / $281.72 / $906.00	Professional	TC	$209.38	$281.72	$906.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $222.11 / $222.11	Professional		$222.11	$222.11	$222.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.33 / $89.28 / $125.51	Professional	26	$46.33	$89.28	$125.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.58 / $288.45 / $402.53	Professional		$235.58	$288.45	$402.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $57.15 / $95.51	Professional	26	$55.85	$57.15	$95.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.43 / $221.99 / $304.88	Professional	TC	$178.43	$221.99	$304.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $338.74 / $522.53	Professional		$211.85	$338.74	$522.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $77.20 / $114.05	Professional	26	$50.25	$77.20	$114.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.91 / $268.97 / $416.26	Professional	TC	$156.91	$268.97	$416.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $299.20 / $388.56	Professional		$2.68	$299.20	$388.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.67 / $75.50 / $101.64	Professional	26	$0.67	$75.50	$101.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.02 / $223.69 / $292.55	Professional	TC	$2.02	$223.69	$292.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $226.67 / $345.23	Professional		$2.68	$226.67	$345.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.67 / $58.08 / $87.12	Professional	26	$0.67	$58.08	$87.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.02 / $152.36 / $258.11	Professional	TC	$2.02	$152.36	$258.11
United Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $272.54 / $473.27	Professional		$207.93	$272.54	$473.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.22 / $65.31 / $120.84	Professional	26	$49.22	$65.31	$120.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.09 / $215.30 / $350.67	Professional	TC	$151.09	$215.30	$350.67