Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.64 / $47.22 / $56.66	Facility	26	$43.64	$47.22	$56.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $145.06 / $323.38	Professional		$99.03	$145.06	$323.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $47.22 / $180.00	Professional	26	$15.71	$47.22	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.81 / $129.36 / $299.19	Professional	TC	$51.81	$129.36	$299.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $35.60 / $86.32	Professional	26	$35.60	$35.60	$86.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $107.16 / $168.62	Professional		$86.11	$107.16	$168.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $43.49 / $53.11	Professional	26	$17.25	$43.49	$53.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $63.63 / $151.37	Professional	TC	$48.89	$63.63	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $159.97 / $523.38	Professional		$85.32	$159.97	$523.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.74 / $30.29 / $77.89	Professional	26	$14.74	$30.29	$77.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.88 / $97.14 / $515.13	Professional	TC	$50.88	$97.14	$515.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $119.06 / $160.07	Professional		$1.02	$119.06	$160.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.21 / $48.44 / $70.45	Professional	26	$0.21	$48.44	$70.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $71.06 / $108.49	Professional	TC	$0.81	$71.06	$108.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $94.81 / $142.22	Professional		$1.02	$94.81	$142.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.21 / $44.04 / $66.06	Professional	26	$0.21	$44.04	$66.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $50.76 / $76.14	Professional	TC	$0.81	$50.76	$76.14
United Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $117.54 / $515.26	Professional		$83.97	$117.54	$515.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $36.22 / $81.41	Professional	26	$14.11	$36.22	$81.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.60 / $71.89 / $401.06	Professional	TC	$55.60	$71.89	$401.06