Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.88 / $52.80 / $63.36	Facility	26	$49.88	$52.80	$63.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $216.19 / $1,350.93	Professional		$203.65	$216.19	$1,350.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $55.49 / $529.50	Professional	26	$49.21	$55.49	$529.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.30 / $166.97 / $1,035.28	Professional	TC	$155.30	$166.97	$1,035.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $96.03 / $96.03	Professional		$96.03	$96.03	$96.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Professional	26	$40.09	$40.09	$40.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $317.22 / $401.31	Professional		$218.10	$317.22	$401.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $77.19 / $95.37	Professional	26	$50.80	$77.19	$95.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.91 / $240.03 / $303.66	Professional	TC	$167.91	$240.03	$303.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.63 / $262.02 / $398.67	Professional		$184.63	$262.02	$398.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $63.16 / $97.99	Professional	26	$43.32	$63.16	$97.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.38 / $201.18 / $297.80	Professional	TC	$143.38	$201.18	$297.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $246.57 / $329.17	Professional		$1.35	$246.57	$329.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $60.38 / $79.65	Professional	26	$0.36	$60.38	$79.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.99 / $191.53 / $240.26	Professional	TC	$0.99	$191.53	$240.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $195.99 / $295.67	Professional		$1.35	$195.99	$295.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $49.78 / $74.67	Professional	26	$0.36	$49.78	$74.67
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.99 / $205.94 / $221.00	Professional	TC	$0.99	$205.94	$221.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $236.03 / $433.44	Professional		$189.28	$236.03	$433.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $53.72 / $104.71	Professional	26	$44.91	$53.72	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.16 / $162.16 / $330.20	Professional	TC	$144.16	$162.16	$330.20