Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.71 / $45.48 / $269.91	Facility	26	$38.71	$45.48	$269.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $121.47 / $598.97	Professional		$93.43	$121.47	$598.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $45.48 / $237.34	Professional	26	$36.61	$45.48	$237.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $69.69 / $128.80	Professional	TC	$56.82	$69.69	$128.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $110.94 / $230.93	Professional		$83.98	$110.94	$230.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $37.97 / $84.35	Professional	26	$30.12	$37.97	$84.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $60.49 / $60.49 / $60.49	Professional	TC	$60.49	$60.49	$60.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $113.31 / $148.83	Professional		$104.45	$113.31	$148.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $42.35 / $57.93	Professional	26	$38.40	$42.35	$57.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.08 / $69.11 / $90.58	Professional	TC	$65.08	$69.11	$90.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $124.21 / $206.30	Professional		$81.62	$124.21	$206.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $48.84 / $76.51	Professional	26	$32.72	$48.84	$76.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.92 / $78.95 / $129.78	Professional	TC	$49.92	$78.95	$129.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $133.24 / $194.30	Professional		$0.59	$133.24	$194.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $48.65 / $68.44	Professional	26	$0.30	$48.65	$68.44
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.28 / $81.06 / $119.01	Professional	TC	$0.28	$81.06	$119.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $104.97 / $166.55	Professional		$0.59	$104.97	$166.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $40.54 / $60.81	Professional	26	$0.30	$40.54	$60.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.28 / $70.48 / $105.74	Professional	TC	$0.28	$70.48	$105.74
United Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $115.13 / $189.96	Professional		$78.16	$115.13	$189.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.41 / $43.31 / $68.12	Professional	26	$30.41	$43.31	$68.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.75 / $71.81 / $127.69	Professional	TC	$47.75	$71.81	$127.69