Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $99.99 / $207.71	Facility	26	$73.00	$99.99	$207.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.82 / $484.13 / $2,725.14	Professional		$372.82	$484.13	$2,725.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.61 / $200.20 / $583.00	Professional	26	$109.61	$200.20	$583.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.58 / $368.50 / $1,650.63	Professional	TC	$288.58	$368.50	$1,650.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $265.41 / $504.29	Professional		$255.52	$265.41	$504.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.39 / $151.97 / $217.88	Professional	26	$99.39	$151.97	$217.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.72 / $444.35 / $599.09	Professional		$339.72	$444.35	$599.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.79 / $98.79 / $159.88	Professional	26	$97.79	$98.79	$159.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.93 / $316.44 / $498.33	Professional	TC	$241.93	$316.44	$498.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $612.27 / $1,320.71	Professional		$356.64	$612.27	$1,320.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.55 / $129.82 / $194.73	Professional	26	$78.55	$129.82	$194.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.44 / $475.53 / $1,066.74	Professional	TC	$253.44	$475.53	$1,066.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $473.35 / $742.00	Professional		$6.30	$473.35	$742.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $131.09 / $176.47	Professional	26	$1.35	$131.09	$176.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $321.70 / $583.34	Professional	TC	$4.95	$321.70	$583.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $331.77 / $503.57	Professional		$6.30	$331.77	$503.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $100.84 / $151.26	Professional	26	$1.35	$100.84	$151.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $301.58 / $352.31	Professional	TC	$4.95	$301.58	$352.31
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $567.20 / $1,199.40	Professional		$337.75	$567.20	$1,199.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.02 / $103.97 / $205.45	Professional	26	$82.02	$103.97	$205.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.75 / $403.65 / $988.67	Professional	TC	$240.75	$403.65	$988.67