Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.38 / $134.13 / $160.97	Facility	26	$107.38	$134.13	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $461.44 / $1,721.41	Professional		$318.18	$461.44	$1,721.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $152.80 / $617.00	Professional	26	$104.37	$152.80	$617.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $210.01 / $309.76 / $880.56	Professional	TC	$210.01	$309.76	$880.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $433.49 / $433.49	Professional		$310.35	$433.49	$433.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $86.74 / $86.74 / $153.41	Professional	26	$86.74	$86.74	$153.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $404.81 / $661.85	Professional		$314.10	$404.81	$661.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.41 / $114.13 / $172.34	Professional	26	$105.41	$114.13	$172.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.61 / $299.39 / $489.95	Professional	TC	$193.61	$299.39	$489.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $591.44 / $924.27	Professional		$353.99	$591.44	$924.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.12 / $133.44 / $209.96	Professional	26	$84.12	$133.44	$209.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.86 / $446.29 / $685.55	Professional	TC	$258.86	$446.29	$685.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $381.36 / $595.88	Professional		$3.06	$381.36	$595.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $141.36 / $190.30	Professional	26	$0.81	$141.36	$190.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $265.47 / $430.87	Professional	TC	$2.25	$265.47	$430.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $288.12 / $432.18	Professional		$3.06	$288.12	$432.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $108.74 / $163.11	Professional	26	$0.81	$108.74	$163.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $179.37 / $269.06	Professional	TC	$2.25	$179.37	$269.06
United Facility/Professional Professional Modifier Low / Median / High Price $366.67 / $495.36 / $849.32	Professional		$366.67	$495.36	$849.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.45 / $112.04 / $220.04	Professional	26	$88.45	$112.04	$220.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.91 / $381.80 / $648.94	Professional	TC	$269.91	$381.80	$648.94