Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.56 / $98.97 / $118.76	Facility	26	$78.56	$98.97	$118.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $294.05 / $1,449.92	Professional		$261.44	$294.05	$1,449.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $99.18 / $422.00	Professional	26	$73.00	$99.18	$422.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $180.09 / $208.72 / $948.66	Professional	TC	$180.09	$208.72	$948.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.02 / $63.02 / $63.02	Professional	26	$63.02	$63.02	$63.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $274.25 / $381.92	Professional		$223.52	$274.25	$381.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.04 / $77.78 / $127.17	Professional	26	$74.04	$77.78	$127.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.72 / $190.61 / $249.00	Professional	TC	$145.72	$190.61	$249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $286.33 / $441.70	Professional		$222.91	$286.33	$441.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.48 / $96.27 / $154.91	Professional	26	$67.48	$96.27	$154.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.51 / $195.38 / $290.82	Professional	TC	$151.51	$195.38	$290.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $297.80 / $410.99	Professional		$3.06	$297.80	$410.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $103.73 / $139.63	Professional	26	$0.81	$103.73	$139.63
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $214.96 / $292.93	Professional	TC	$2.25	$214.96	$292.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $223.98 / $343.62	Professional		$3.06	$223.98	$343.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $79.79 / $119.69	Professional	26	$0.81	$79.79	$119.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $223.92 / $233.45	Professional	TC	$2.25	$223.92	$233.45
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $260.33 / $468.03	Professional		$215.04	$260.33	$468.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.79 / $83.64 / $161.58	Professional	26	$66.79	$83.64	$161.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.57 / $172.79 / $300.00	Professional	TC	$139.57	$172.79	$300.00