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 $75.43 / $91.78 / $359.00	Professional		$75.43	$91.78	$359.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $35.46 / $175.73	Professional	26	$31.21	$35.46	$175.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $52.15 / $277.83	Professional	TC	$44.21	$52.15	$277.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $99.91 / $99.91	Professional		$77.31	$99.91	$99.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $25.71 / $62.68	Professional	26	$25.71	$25.71	$62.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $84.12 / $108.08	Professional		$75.45	$84.12	$108.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $35.40 / $43.73	Professional	26	$30.89	$35.40	$43.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.57 / $51.59 / $64.34	Professional	TC	$44.57	$51.59	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $98.67 / $157.35	Professional		$65.87	$98.67	$157.35
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 $38.32 / $59.06 / $93.70	Professional	TC	$38.32	$59.06	$93.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $103.05 / $132.38	Professional		$78.67	$103.05	$132.38
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 $45.05 / $62.81 / $79.19	Professional	TC	$45.05	$62.81	$79.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $118.91 / $118.91	Professional		$79.27	$118.91	$118.91
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 $47.42 / $71.13 / $71.13	Professional	TC	$47.42	$71.13	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $83.73 / $146.16	Professional		$67.18	$83.73	$146.16
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 $39.15 / $48.00 / $88.15	Professional	TC	$39.15	$48.00	$88.15