Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.95 / $73.00 / $139.22	Facility	26	$65.95	$73.00	$139.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $475.00 / $1,833.82	Professional		$226.51	$475.00	$1,833.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $140.00 / $371.00	Professional	26	$71.37	$140.00	$371.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.38 / $335.00 / $865.83	Professional	TC	$178.38	$335.00	$865.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $148.22 / $188.48	Professional		$148.22	$148.22	$188.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.77 / $66.86 / $100.26	Professional	26	$52.77	$66.86	$100.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $260.08 / $390.46	Professional		$195.26	$260.08	$390.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.96 / $65.40 / $109.43	Professional	26	$63.96	$65.40	$109.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.85 / $176.41 / $318.85	Professional	TC	$129.85	$176.41	$318.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $379.28 / $694.00	Professional		$204.70	$379.28	$694.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $88.84 / $131.91	Professional	26	$52.21	$88.84	$131.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.44 / $281.70 / $629.00	Professional	TC	$136.44	$281.70	$629.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $278.93 / $482.70	Professional		$4.95	$278.93	$482.70
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $85.92 / $115.66	Professional	26	$0.90	$85.92	$115.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $186.48 / $413.14	Professional	TC	$4.05	$186.48	$413.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $192.01 / $290.55	Professional		$4.95	$192.01	$290.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $66.09 / $99.14	Professional	26	$0.90	$66.09	$99.14
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $191.42 / $199.80	Professional	TC	$4.05	$191.42	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $344.30 / $615.15	Professional		$194.49	$344.30	$615.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.59 / $67.48 / $137.86	Professional	26	$54.59	$67.48	$137.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.66 / $253.67 / $528.88	Professional	TC	$130.66	$253.67	$528.88