Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $33.82 / $40.58	Facility	26	$31.82	$33.82	$40.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $124.94 / $437.00	Professional		$99.89	$124.94	$437.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $39.47 / $125.00	Professional	26	$31.21	$39.47	$125.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $80.68 / $431.48	Professional	TC	$68.67	$80.68	$431.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $83.64 / $102.55	Professional		$83.64	$83.64	$102.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $49.32 / $62.68	Professional	26	$25.71	$49.32	$62.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $112.50 / $143.63	Professional		$99.89	$112.50	$143.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $35.40 / $43.73	Professional	26	$28.20	$35.40	$43.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.18 / $80.69 / $99.90	Professional	TC	$70.18	$80.69	$99.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $129.85 / $209.10	Professional		$87.24	$129.85	$209.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $42.31 / $62.76	Professional	26	$27.56	$42.31	$62.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.68 / $91.49 / $145.46	Professional	TC	$59.68	$91.49	$145.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $139.90 / $177.86	Professional		$100.08	$139.90	$177.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $42.19 / $53.19	Professional	26	$30.26	$42.19	$53.19
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $69.83 / $97.70 / $122.75	Professional	TC	$69.83	$97.70	$122.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $105.35 / $158.03	Professional		$104.55	$105.35	$158.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.85 / $47.78 / $47.78	Professional	26	$31.85	$47.78	$47.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $73.50 / $110.25 / $110.25	Professional	TC	$73.50	$110.25	$110.25
United Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $110.43 / $200.98	Professional		$86.97	$110.43	$200.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $35.72 / $65.03	Professional	26	$28.38	$35.72	$65.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.83 / $74.70 / $135.94	Professional	TC	$58.83	$74.70	$135.94