Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.11 / $26.07 / $31.28	Facility	26	$24.11	$26.07	$31.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $132.34 / $524.00	Professional		$82.81	$132.34	$524.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $28.89 / $133.00	Professional	26	$24.28	$28.89	$133.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $99.65 / $182.37	Professional	TC	$59.92	$99.65	$182.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $19.48 / $44.29	Professional	26	$19.29	$19.48	$44.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $116.91 / $161.72	Professional		$93.75	$116.91	$161.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $28.24 / $34.70	Professional	26	$22.03	$28.24	$34.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.51 / $94.88 / $127.49	Professional	TC	$65.51	$94.88	$127.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $136.08 / $235.73	Professional		$78.87	$136.08	$235.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $32.90 / $48.22	Professional	26	$21.20	$32.90	$48.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.67 / $99.48 / $187.51	Professional	TC	$57.67	$99.48	$187.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $132.13 / $192.19	Professional		$0.63	$132.13	$192.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $29.47 / $39.29	Professional	26	$0.28	$29.47	$39.29
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.35 / $109.91 / $159.84	Professional	TC	$0.35	$109.91	$159.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $117.86 / $180.18	Professional		$0.63	$117.86	$180.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $24.56 / $36.84	Professional	26	$0.28	$24.56	$36.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.35 / $143.36 / $149.85	Professional	TC	$0.35	$143.36	$149.85
United Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $129.44 / $214.76	Professional		$66.79	$129.44	$214.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $27.07 / $49.27	Professional	26	$19.98	$27.07	$49.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.76 / $104.29 / $172.10	Professional	TC	$45.76	$104.29	$172.10