Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $129.72 / $720.94	Facility	26	$91.04	$129.72	$720.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.33 / $436.57 / $1,847.00	Professional		$374.33	$436.57	$1,847.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $125.24 / $403.00	Professional	26	$84.53	$125.24	$403.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $298.64 / $344.43 / $1,427.00	Professional	TC	$298.64	$344.43	$1,427.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.19 / $325.64 / $504.93	Professional		$255.19	$325.64	$504.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.83 / $131.04 / $198.38	Professional	26	$72.83	$131.04	$198.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $385.06 / $584.80	Professional		$342.26	$385.06	$584.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.01 / $89.53 / $147.31	Professional	26	$84.01	$89.53	$147.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.73 / $301.05 / $438.43	Professional	TC	$252.73	$301.05	$438.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $467.37 / $674.53	Professional		$301.69	$467.37	$674.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.20 / $116.30 / $178.25	Professional	26	$79.20	$116.30	$178.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.52 / $351.97 / $496.27	Professional	TC	$219.52	$351.97	$496.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $439.11 / $570.27	Professional		$3.72	$439.11	$570.27
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.85 / $119.87 / $161.37	Professional	26	$0.85	$119.87	$161.37
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.87 / $306.95 / $413.14	Professional	TC	$2.87	$306.95	$413.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $332.19 / $506.67	Professional		$3.72	$332.19	$506.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.85 / $92.21 / $138.32	Professional	26	$0.85	$92.21	$138.32
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.87 / $301.58 / $368.36	Professional	TC	$2.87	$301.58	$368.36
United Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $373.53 / $685.94	Professional		$310.93	$373.53	$685.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.02 / $95.90 / $186.53	Professional	26	$82.02	$95.90	$186.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.62 / $277.95 / $510.69	Professional	TC	$223.62	$277.95	$510.69