Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $81.01 / $169.48	Facility	26	$73.00	$81.01	$169.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.91 / $590.50 / $2,252.02	Professional		$427.91	$590.50	$2,252.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.68 / $141.22 / $463.00	Professional	26	$103.68	$141.22	$463.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $321.58 / $368.50 / $1,747.83	Professional	TC	$321.58	$368.50	$1,747.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $65.45 / $65.45	Professional	26	$65.45	$65.45	$65.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $440.60 / $575.59	Professional		$336.86	$440.60	$575.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $79.69 / $131.12	Professional	26	$79.06	$79.69	$131.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.17 / $336.37 / $451.95	Professional	TC	$257.17	$336.37	$451.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.18 / $541.66 / $831.58	Professional		$345.18	$541.66	$831.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.78 / $109.43 / $158.88	Professional	26	$70.78	$109.43	$158.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.43 / $421.19 / $683.80	Professional	TC	$262.43	$421.19	$683.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $469.63 / $603.80	Professional		$5.27	$469.63	$603.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $106.48 / $143.34	Professional	26	$0.99	$106.48	$143.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $365.10 / $500.00	Professional	TC	$4.28	$365.10	$500.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $335.45 / $503.18	Professional		$5.27	$335.45	$503.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.99 / $81.91 / $122.87	Professional	26	$0.99	$81.91	$122.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $253.54 / $380.31	Professional	TC	$4.28	$253.54	$380.31
United Facility/Professional Professional Modifier Low / Median / High Price $296.12 / $436.40 / $741.88	Professional		$296.12	$436.40	$741.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.80 / $79.05 / $166.18	Professional	26	$64.80	$79.05	$166.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.76 / $364.96 / $590.48	Professional	TC	$254.76	$364.96	$590.48