Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.84 / $99.11 / $118.93	Facility	26	$78.84	$99.11	$118.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $227.83 / $951.00	Professional		$193.50	$227.83	$951.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $93.16 / $368.00	Professional	26	$72.87	$93.16	$368.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.95 / $148.03 / $616.00	Professional	TC	$114.95	$148.03	$616.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $144.25 / $274.07	Professional		$122.54	$144.25	$274.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $116.70 / $171.81	Professional	26	$63.08	$116.70	$171.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $192.30 / $307.05	Professional		$179.70	$192.30	$307.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.42 / $77.78 / $127.98	Professional	26	$72.42	$77.78	$127.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.91 / $119.88 / $176.87	Professional	TC	$101.91	$119.88	$176.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $249.52 / $355.30	Professional		$167.27	$249.52	$355.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.19 / $98.80 / $155.12	Professional	26	$68.19	$98.80	$155.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.84 / $145.59 / $202.93	Professional	TC	$96.84	$145.59	$202.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $246.44 / $308.20	Professional		$1.87	$246.44	$308.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.73 / $103.16 / $138.86	Professional	26	$0.73	$103.16	$138.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.13 / $144.47 / $196.25	Professional	TC	$1.13	$144.47	$196.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $180.31 / $273.83	Professional		$1.87	$180.31	$273.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.73 / $79.34 / $119.03	Professional	26	$0.73	$79.34	$119.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.13 / $154.80 / $161.40	Professional	TC	$1.13	$154.80	$161.40
United Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $203.18 / $375.88	Professional		$171.65	$203.18	$375.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.77 / $89.14 / $162.22	Professional	26	$70.77	$89.14	$162.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.87 / $114.04 / $210.97	Professional	TC	$95.87	$114.04	$210.97