Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.67 / $38.54 / $46.25	Facility	26	$36.67	$38.54	$46.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $140.40 / $672.00	Professional		$101.04	$140.40	$672.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $55.02 / $182.00	Professional	26	$31.76	$55.02	$182.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $88.59 / $467.03	Professional	TC	$71.14	$88.59	$467.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $93.47 / $93.47	Professional		$89.98	$93.47	$93.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $67.53 / $72.14	Professional	26	$29.52	$67.53	$72.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $118.04 / $155.41	Professional		$109.34	$118.04	$155.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $36.95 / $45.56	Professional	26	$31.98	$36.95	$45.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.31 / $79.84 / $109.63	Professional	TC	$76.31	$79.84	$109.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $137.77 / $233.68	Professional		$94.29	$137.77	$233.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $43.95 / $71.51	Professional	26	$27.91	$43.95	$71.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.62 / $93.90 / $160.34	Professional	TC	$60.62	$93.90	$160.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $146.08 / $194.77	Professional		$0.74	$146.08	$194.77
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $43.14 / $60.05	Professional	26	$0.36	$43.14	$60.05
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $105.90 / $140.75	Professional	TC	$0.38	$105.90	$140.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $116.84 / $182.60	Professional		$0.74	$116.84	$182.60
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $37.53 / $56.30	Professional	26	$0.36	$37.53	$56.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $126.30 / $131.96	Professional	TC	$0.38	$126.30	$131.96
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $122.34 / $206.73	Professional		$78.34	$122.34	$206.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.35 / $41.50 / $67.84	Professional	26	$25.35	$41.50	$67.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.81 / $80.84 / $139.84	Professional	TC	$52.81	$80.84	$139.84