Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.70 / $49.77 / $59.72	Facility	26	$46.70	$49.77	$59.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $159.66 / $891.85	Professional		$109.45	$159.66	$891.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $54.90 / $152.02	Professional	26	$31.76	$54.90	$152.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $109.89 / $598.65	Professional	TC	$79.54	$109.89	$598.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $86.42 / $86.42	Professional	26	$37.43	$86.42	$86.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $146.33 / $196.43	Professional		$134.11	$146.33	$196.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $37.68 / $56.56	Professional	26	$32.04	$37.68	$56.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.68 / $103.82 / $135.79	Professional	TC	$95.68	$103.82	$135.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $172.83 / $291.91	Professional		$110.00	$172.83	$291.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.08 / $48.15 / $84.67	Professional	26	$29.08	$48.15	$84.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.88 / $127.00 / $198.51	Professional	TC	$74.88	$127.00	$198.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $188.78 / $246.24	Professional		$0.81	$188.78	$246.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $52.18 / $75.90	Professional	26	$0.36	$52.18	$75.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $131.63 / $170.94	Professional	TC	$0.45	$131.63	$170.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $145.94 / $223.04	Professional		$0.81	$145.94	$223.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $47.44 / $71.16	Professional	26	$0.36	$47.44	$71.16
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $101.25 / $151.88	Professional	TC	$0.45	$101.25	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $156.63 / $266.77	Professional		$99.76	$156.63	$266.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $52.03 / $86.73	Professional	26	$30.40	$52.03	$86.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.75 / $103.58 / $188.52	Professional	TC	$74.75	$103.58	$188.52