Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.63 / $69.73 / $83.68	Facility	26	$63.63	$69.73	$83.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $194.27 / $399.11	Professional		$129.59	$194.27	$399.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.66 / $69.13 / $270.00	Professional	26	$49.66	$69.13	$270.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.46 / $144.61 / $323.37	Professional	TC	$60.46	$144.61	$323.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Professional		$96.70	$96.70	$96.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $53.75 / $53.75	Professional	26	$53.75	$53.75	$53.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $151.53 / $226.25	Professional		$121.28	$151.53	$226.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.08 / $63.50 / $80.64	Professional	26	$55.08	$63.50	$80.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.78 / $74.34 / $166.74	Professional	TC	$57.78	$74.34	$166.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $213.86 / $566.98	Professional		$117.66	$213.86	$566.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.38 / $74.17 / $127.27	Professional	26	$46.38	$74.17	$127.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.87 / $111.83 / $532.80	Professional	TC	$59.87	$111.83	$532.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $164.70 / $209.52	Professional		$1.80	$164.70	$209.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $74.34 / $103.42	Professional	26	$0.45	$74.34	$103.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.35 / $83.24 / $135.00	Professional	TC	$1.35	$83.24	$135.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $120.51 / $186.15	Professional		$1.80	$120.51	$186.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $64.64 / $96.96	Professional	26	$0.45	$64.64	$96.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.35 / $59.46 / $89.19	Professional	TC	$1.35	$59.46	$89.19
United Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $188.23 / $555.21	Professional		$132.99	$188.23	$555.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $71.81 / $117.41	Professional	26	$48.35	$71.81	$117.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.41 / $103.05 / $410.24	Professional	TC	$65.41	$103.05	$410.24