Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $80.19 / $96.23	Facility	26	$63.10	$80.19	$96.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $410.67 / $1,442.00	Professional		$273.82	$410.67	$1,442.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $91.35 / $262.00	Professional	26	$60.39	$91.35	$262.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.01 / $345.83 / $1,053.10	Professional	TC	$210.01	$345.83	$1,053.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $195.19 / $195.19	Professional		$195.19	$195.19	$195.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.67 / $93.39 / $137.49	Professional	26	$50.67	$93.39	$137.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $308.29 / $450.81	Professional		$260.69	$308.29	$450.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.74 / $62.86 / $104.97	Professional	26	$61.74	$62.86	$104.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.34 / $227.69 / $343.40	Professional	TC	$190.34	$227.69	$343.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $402.24 / $632.53	Professional		$237.28	$402.24	$632.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.27 / $85.22 / $125.52	Professional	26	$55.27	$85.22	$125.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.20 / $317.08 / $515.78	Professional	TC	$193.20	$317.08	$515.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $316.14 / $427.83	Professional		$3.24	$316.14	$427.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $82.89 / $111.58	Professional	26	$0.72	$82.89	$111.58
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.52 / $233.26 / $322.97	Professional	TC	$2.52	$233.26	$322.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $243.19 / $364.79	Professional		$3.24	$243.19	$364.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $63.76 / $95.64	Professional	26	$0.72	$63.76	$95.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.52 / $152.36 / $269.14	Professional	TC	$2.52	$152.36	$269.14
United Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $311.63 / $542.08	Professional		$224.60	$311.63	$542.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.34 / $64.58 / $130.66	Professional	26	$54.34	$64.58	$130.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.31 / $249.31 / $462.88	Professional	TC	$171.31	$249.31	$462.88