Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $94.45 / $113.34	Facility	26	$87.25	$94.45	$113.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $261.97 / $474.42	Professional		$166.85	$261.97	$474.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $94.45 / $314.00	Professional	26	$56.82	$94.45	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.41 / $186.96 / $387.01	Professional	TC	$72.41	$186.96	$387.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.33 / $72.33 / $72.33	Professional	26	$72.33	$72.33	$72.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $194.59 / $275.37	Professional		$154.94	$194.59	$275.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.02 / $86.67 / $113.36	Professional	26	$63.02	$86.67	$113.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.26 / $88.01 / $206.96	Professional	TC	$68.26	$88.01	$206.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $267.67 / $626.07	Professional		$161.25	$267.67	$626.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $97.24 / $168.57	Professional	26	$52.85	$97.24	$168.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.80 / $138.24 / $549.34	Professional	TC	$71.80	$138.24	$549.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $209.91 / $286.60	Professional		$1.44	$209.91	$286.60
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $97.93 / $142.44	Professional	26	$0.36	$97.93	$142.44
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.08 / $107.21 / $198.05	Professional	TC	$1.08	$107.21	$198.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $156.37 / $242.21	Professional		$1.44	$156.37	$242.21
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $89.03 / $133.55	Professional	26	$0.36	$89.03	$133.55
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.08 / $72.44 / $108.66	Professional	TC	$1.08	$72.44	$108.66
United Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $245.75 / $563.79	Professional		$169.37	$245.75	$563.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $97.80 / $159.88	Professional	26	$54.06	$97.80	$159.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.73 / $120.72 / $434.37	Professional	TC	$69.73	$120.72	$434.37