Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.95 / $103.90 / $124.68	Facility	26	$82.95	$103.90	$124.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $354.51 / $1,477.00	Professional		$303.52	$354.51	$1,477.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.01 / $111.40 / $355.00	Professional	26	$81.01	$111.40	$355.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.22 / $297.57 / $1,345.10	Professional	TC	$230.22	$297.57	$1,345.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.01 / $237.33 / $450.92	Professional		$228.01	$237.33	$450.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $122.77 / $180.75	Professional	26	$66.36	$122.77	$180.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $305.75 / $503.07	Professional		$304.79	$305.75	$503.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $81.59 / $134.25	Professional	26	$75.98	$81.59	$134.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.15 / $228.81 / $368.81	Professional	TC	$224.15	$228.81	$368.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $390.38 / $593.32	Professional		$265.00	$390.38	$593.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $103.57 / $162.62	Professional	26	$71.34	$103.57	$162.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.77 / $285.02 / $427.42	Professional	TC	$189.77	$285.02	$427.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $385.46 / $501.20	Professional		$2.93	$385.46	$501.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $108.21 / $145.66	Professional	26	$0.77	$108.21	$145.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.17 / $281.48 / $361.91	Professional	TC	$2.17	$281.48	$361.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $296.66 / $450.18	Professional		$2.93	$296.66	$450.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.77 / $83.24 / $124.86	Professional	26	$0.77	$83.24	$124.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.17 / $301.58 / $325.32	Professional	TC	$2.17	$301.58	$325.32
United Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $332.39 / $614.91	Professional		$275.39	$332.39	$614.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.18 / $88.06 / $170.12	Professional	26	$74.18	$88.06	$170.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.73 / $210.30 / $434.83	Professional	TC	$195.73	$210.30	$434.83