Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $26.75 / $32.10	Facility	26	$24.76	$26.75	$32.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $108.43 / $530.00	Professional		$86.06	$108.43	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $27.95 / $117.04	Professional	26	$24.64	$27.95	$117.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $76.84 / $152.75	Professional	TC	$61.40	$76.84	$152.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $82.65 / $101.21	Professional		$79.23	$82.65	$101.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $38.38 / $53.95	Professional	26	$28.32	$38.38	$53.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $112.35 / $177.91	Professional		$101.91	$112.35	$177.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $27.30 / $49.58	Professional	26	$24.76	$27.30	$49.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.15 / $85.74 / $128.16	Professional	TC	$77.15	$85.74	$128.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $116.31 / $192.22	Professional		$75.95	$116.31	$192.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $32.74 / $49.51	Professional	26	$22.03	$32.74	$49.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.92 / $83.78 / $143.16	Professional	TC	$53.92	$83.78	$143.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $122.49 / $190.00	Professional		$0.43	$122.49	$190.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $30.60 / $43.05	Professional	26	$0.13	$30.60	$43.05
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $88.21 / $135.38	Professional	TC	$0.31	$88.21	$135.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $103.31 / $158.54	Professional		$0.43	$103.31	$158.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $25.50 / $38.25	Professional	26	$0.13	$25.50	$38.25
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $80.19 / $120.29	Professional	TC	$0.31	$80.19	$120.29
United Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $115.85 / $189.39	Professional		$86.11	$115.85	$189.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $28.15 / $46.45	Professional	26	$21.03	$28.15	$46.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.08 / $87.70 / $144.71	Professional	TC	$65.08	$87.70	$144.71