Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $78.20 / $164.80	Facility	26	$73.00	$78.20	$164.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $522.50 / $2,042.59	Professional		$383.86	$522.50	$2,042.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.19 / $140.00 / $490.17	Professional	26	$85.19	$140.00	$490.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.26 / $348.53 / $1,552.41	Professional	TC	$281.26	$348.53	$1,552.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $227.73 / $227.73	Professional		$227.73	$227.73	$227.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Professional	26	$62.89	$62.89	$62.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.83 / $397.42 / $519.16	Professional		$303.83	$397.42	$519.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.89 / $77.47 / $126.66	Professional	26	$75.89	$77.47	$126.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.37 / $296.08 / $394.80	Professional	TC	$226.37	$296.08	$394.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.35 / $519.48 / $922.91	Professional		$319.35	$519.48	$922.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $100.75 / $154.50	Professional	26	$61.69	$100.75	$154.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.05 / $423.55 / $752.00	Professional	TC	$238.05	$423.55	$752.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $423.25 / $667.08	Professional		$5.58	$423.25	$667.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $102.28 / $137.69	Professional	26	$1.08	$102.28	$137.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $310.10 / $541.11	Professional	TC	$4.50	$310.10	$541.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $296.70 / $450.27	Professional		$5.58	$296.70	$450.27
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $78.68 / $118.02	Professional	26	$1.08	$78.68	$118.02
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $301.58 / $332.25	Professional	TC	$4.50	$301.58	$332.25
United Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $460.45 / $760.20	Professional		$303.70	$460.45	$760.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $76.19 / $161.22	Professional	26	$62.24	$76.19	$161.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $368.42 / $646.79	Professional	TC	$228.23	$368.42	$646.79