Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $117.14 / $243.72	Facility	26	$73.00	$117.14	$243.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.03 / $494.18 / $2,436.10	Professional		$418.03	$494.18	$2,436.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.54 / $156.66 / $654.00	Professional	26	$123.54	$156.66	$654.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.99 / $335.00 / $783.89	Professional	TC	$304.99	$335.00	$783.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $272.92 / $347.49	Professional		$272.92	$272.92	$347.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.71 / $94.21 / $221.39	Professional	26	$93.71	$94.21	$221.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.98 / $454.36 / $638.37	Professional		$367.98	$454.36	$638.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.07 / $117.19 / $187.91	Professional	26	$114.07	$117.19	$187.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.04 / $320.16 / $441.85	Professional	TC	$253.04	$320.16	$441.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.43 / $598.75 / $989.84	Professional		$372.43	$598.75	$989.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.53 / $150.66 / $228.49	Professional	26	$101.53	$150.66	$228.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.93 / $427.88 / $746.70	Professional	TC	$252.93	$427.88	$746.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $474.29 / $641.96	Professional		$5.67	$474.29	$641.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $143.12 / $190.83	Professional	26	$1.08	$143.12	$190.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $319.24 / $459.00	Professional	TC	$4.59	$319.24	$459.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $354.08 / $547.26	Professional		$5.67	$354.08	$547.26
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $119.27 / $178.91	Professional	26	$1.08	$119.27	$178.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $301.58 / $368.36	Professional	TC	$4.59	$301.58	$368.36
United Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $548.79 / $898.32	Professional		$362.59	$548.79	$898.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.77 / $122.74 / $241.02	Professional	26	$97.77	$122.74	$241.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.38 / $355.56 / $699.60	Professional	TC	$251.38	$355.56	$699.60