Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.64 / $744.06 / $1,520.56	Facility		$214.64	$744.06	$1,520.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $28.77 / $34.52	Facility	26	$26.70	$28.77	$34.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $91.88 / $214.64 / $594.78	Facility	TC	$91.88	$214.64	$594.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $107.68 / $491.00	Professional		$89.31	$107.68	$491.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $31.73 / $139.91	Professional	26	$25.14	$31.73	$139.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.54 / $80.89 / $362.53	Professional	TC	$60.54	$80.89	$362.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $67.12 / $127.53	Professional		$67.12	$67.12	$127.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $39.52 / $49.17	Professional	26	$21.36	$39.52	$49.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $109.26 / $437.00	Facility		$87.41	$109.26	$437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $92.40 / $137.04	Professional		$83.82	$92.40	$137.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $29.76 / $41.05	Professional	26	$26.67	$29.76	$41.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.15 / $63.61 / $95.06	Professional	TC	$57.15	$63.61	$95.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $203.39 / $670.85	Facility		$59.67	$203.39	$670.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $113.02 / $165.73	Professional		$73.72	$113.02	$165.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $36.28 / $53.38	Professional	26	$23.41	$36.28	$53.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $77.00 / $115.19	Professional	TC	$50.18	$77.00	$115.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $104.13 / $156.19	Professional		$0.69	$104.13	$156.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $31.78 / $45.97	Professional	26	$0.32	$31.78	$45.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $73.79 / $107.21	Professional	TC	$0.38	$73.79	$107.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $117.52 / $117.52	Facility		$117.52	$117.52	$117.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $83.90 / $129.03	Professional		$0.69	$83.90	$129.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $27.23 / $40.85	Professional	26	$0.32	$27.23	$40.85
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $58.79 / $89.34	Professional	TC	$0.38	$58.79	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $92.75 / $161.91	Professional		$74.18	$92.75	$161.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $29.95 / $56.43	Professional	26	$21.32	$29.95	$56.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.86 / $62.80 / $112.79	Professional	TC	$52.86	$62.80	$112.79