Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.62 / $124.15 / $148.97	Facility	26	$99.62	$124.15	$148.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.16 / $512.36 / $2,287.71	Professional		$433.16	$512.36	$2,287.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $139.76 / $550.00	Professional	26	$91.25	$139.76	$550.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $339.05 / $447.60 / $704.14	Professional	TC	$339.05	$447.60	$704.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $287.17 / $366.01	Professional		$251.27	$287.17	$366.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.69 / $147.44 / $217.07	Professional	26	$79.69	$147.44	$217.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.77 / $481.82 / $647.20	Professional		$378.77	$481.82	$647.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $97.47 / $159.36	Professional	26	$90.56	$97.47	$159.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.30 / $363.96 / $484.59	Professional	TC	$281.30	$363.96	$484.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.31 / $591.46 / $828.99	Professional		$341.31	$591.46	$828.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.70 / $123.98 / $194.32	Professional	26	$85.70	$123.98	$194.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.59 / $445.29 / $650.53	Professional	TC	$247.59	$445.29	$650.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $491.56 / $661.71	Professional		$4.68	$491.56	$661.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.22 / $130.22 / $175.30	Professional	26	$1.22	$130.22	$175.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $339.28 / $486.41	Professional	TC	$3.47	$339.28	$486.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $373.39 / $567.17	Professional		$4.68	$373.39	$567.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.22 / $100.17 / $150.26	Professional	26	$1.22	$100.17	$150.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $301.58 / $416.93	Professional	TC	$3.47	$301.58	$416.93
United Facility/Professional Professional Modifier Low / Median / High Price $341.87 / $469.50 / $761.13	Professional		$341.87	$469.50	$761.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.10 / $99.42 / $203.62	Professional	26	$88.10	$99.42	$203.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.03 / $345.13 / $593.80	Professional	TC	$251.03	$345.13	$593.80