Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.40 / $134.80 / $161.76	Facility	26	$108.40	$134.80	$161.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $372.31 / $1,723.34	Professional		$284.44	$372.31	$1,723.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $148.31 / $597.00	Professional	26	$106.09	$148.31	$597.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.15 / $263.82 / $589.19	Professional	TC	$210.15	$263.82	$589.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $482.57 / $482.57	Professional		$245.26	$482.57	$482.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $164.77 / $168.02	Professional	26	$87.34	$164.77	$168.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $362.12 / $546.83	Professional		$313.69	$362.12	$546.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.04 / $108.30 / $173.37	Professional	26	$106.04	$108.30	$173.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.61 / $232.21 / $369.58	Professional	TC	$193.61	$232.21	$369.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $524.86 / $754.84	Professional		$325.00	$524.86	$754.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.81 / $131.11 / $210.99	Professional	26	$92.81	$131.11	$210.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.16 / $363.80 / $575.02	Professional	TC	$218.16	$363.80	$575.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $419.29 / $548.71	Professional		$3.06	$419.29	$548.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $142.90 / $192.36	Professional	26	$0.81	$142.90	$192.36
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $279.62 / $359.20	Professional	TC	$2.25	$279.62	$359.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $317.48 / $487.52	Professional		$3.06	$317.48	$487.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $109.92 / $164.88	Professional	26	$0.81	$109.92	$164.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $301.58 / $322.64	Professional	TC	$2.25	$301.58	$322.64
United Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $438.70 / $828.52	Professional		$310.75	$438.70	$828.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.51 / $113.86 / $220.04	Professional	26	$91.51	$113.86	$220.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.97 / $301.11 / $686.84	Professional	TC	$207.97	$301.11	$686.84