Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.44 / $35.17 / $42.20	Facility	26	$33.44	$35.17	$42.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $104.98 / $620.72	Professional		$94.04	$104.98	$620.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.17 / $83.34	Professional	26	$32.36	$35.17	$83.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $191.91 / $661.50 / $723.00	Professional	50	$191.91	$661.50	$723.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $69.59 / $126.90	Professional	TC	$65.48	$69.59	$126.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $78.98 / $121.13	Professional		$76.25	$78.98	$121.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $40.46 / $77.75	Professional	26	$26.75	$40.46	$77.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.08 / $118.47 / $177.71	Professional	50	$100.08	$118.47	$177.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $114.75 / $181.45	Professional		$98.42	$114.75	$181.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $36.54 / $56.78	Professional	26	$32.70	$36.54	$56.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $146.30 / $168.30 / $191.25	Professional	50	$146.30	$168.30	$191.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.72 / $78.20 / $124.20	Professional	TC	$65.72	$78.20	$124.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $127.83 / $194.42	Professional		$87.29	$127.83	$194.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.33 / $43.16 / $65.26	Professional	26	$29.33	$43.16	$65.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.95 / $85.00 / $129.16	Professional	TC	$57.95	$85.00	$129.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $120.00 / $180.00	Professional		$0.90	$120.00	$180.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $40.22 / $56.59	Professional	26	$0.27	$40.22	$56.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.63 / $79.78 / $112.24	Professional	TC	$0.63	$79.78	$112.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $98.73 / $150.00	Professional		$0.90	$98.73	$150.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $33.52 / $50.28	Professional	26	$0.27	$33.52	$50.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.63 / $66.48 / $99.72	Professional	TC	$0.63	$66.48	$99.72
United Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $108.99 / $185.56	Professional		$86.97	$108.99	$185.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $37.17 / $64.89	Professional	26	$29.84	$37.17	$64.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.13 / $71.81 / $121.89	Professional	TC	$57.13	$71.81	$121.89