Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.41 / $47.63 / $57.16	Facility	26	$45.41	$47.63	$57.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $149.33 / $665.00	Professional		$129.47	$149.33	$665.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $72.63 / $245.33	Professional	26	$42.60	$72.63	$245.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.67 / $98.26 / $414.00	Professional	TC	$84.67	$98.26	$414.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $133.82 / $282.68	Professional		$103.78	$133.82	$282.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $44.74 / $98.95	Professional	26	$35.19	$44.74	$98.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $77.08 / $77.08 / $77.08	Professional	TC	$77.08	$77.08	$77.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $141.75 / $194.55	Professional		$128.58	$141.75	$194.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $50.91 / $67.03	Professional	26	$44.45	$50.91	$67.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.13 / $93.45 / $128.68	Professional	TC	$84.13	$93.45	$128.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $169.12 / $253.68	Professional		$114.04	$169.12	$253.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $60.75 / $88.54	Professional	26	$39.49	$60.75	$88.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.40 / $111.04 / $165.29	Professional	TC	$68.40	$111.04	$165.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $162.38 / $236.81	Professional		$1.04	$162.38	$236.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $55.80 / $78.51	Professional	26	$0.50	$55.80	$78.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $102.14 / $148.33	Professional	TC	$44.67	$102.14	$148.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $129.72 / $202.98	Professional		$1.04	$129.72	$202.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $46.50 / $69.75	Professional	26	$0.50	$46.50	$69.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $88.82 / $133.22	Professional	TC	$0.54	$88.82	$133.22
United Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $142.55 / $235.21	Professional		$108.70	$142.55	$235.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $50.89 / $93.45	Professional	26	$35.40	$50.89	$93.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.18 / $91.66 / $160.00	Professional	TC	$72.18	$91.66	$160.00