Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $36.52 / $43.82	Facility	26	$34.40	$36.52	$43.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $151.55 / $592.50	Professional		$133.53	$151.55	$592.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $37.28 / $186.00	Professional	26	$32.57	$37.28	$186.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.76 / $115.04 / $207.79	Professional	TC	$104.76	$115.04	$207.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $50.93 / $50.93	Professional	26	$50.93	$50.93	$50.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $142.55 / $202.05	Professional		$136.82	$142.55	$202.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $35.72 / $51.01	Professional	26	$33.97	$35.72	$51.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.10 / $108.58 / $149.93	Professional	TC	$101.10	$108.58	$149.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $167.98 / $281.24	Professional		$113.69	$167.98	$281.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $41.12 / $67.25	Professional	26	$28.71	$41.12	$67.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.98 / $125.91 / $213.47	Professional	TC	$84.98	$125.91	$213.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $171.68 / $250.37	Professional		$0.68	$171.68	$250.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $40.98 / $58.28	Professional	26	$0.27	$40.98	$58.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $114.42 / $181.28	Professional	TC	$0.41	$114.42	$181.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $141.37 / $214.61	Professional		$0.68	$141.37	$214.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $34.52 / $51.78	Professional	26	$0.27	$34.52	$51.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $89.34 / $162.83	Professional	TC	$0.41	$89.34	$162.83
United Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $159.16 / $262.61	Professional		$106.65	$159.16	$262.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $39.34 / $64.31	Professional	26	$27.65	$39.34	$64.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.16 / $119.82 / $209.16	Professional	TC	$76.16	$119.82	$209.16