Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.14 / $36.51 / $43.81	Facility	26	$34.14	$36.51	$43.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $158.28 / $509.00	Professional		$88.95	$158.28	$509.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $49.11 / $160.00	Professional	26	$32.13	$49.11	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.47 / $63.82 / $285.00	Professional	TC	$54.47	$63.82	$285.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $110.94 / $195.25	Professional		$72.89	$110.94	$195.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $34.14 / $67.09	Professional	26	$27.31	$34.14	$67.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $97.65 / $135.47	Professional		$88.58	$97.65	$135.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $39.39 / $51.69	Professional	26	$33.97	$39.39	$51.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.61 / $60.81 / $85.70	Professional	TC	$54.61	$60.81	$85.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $116.75 / $175.12	Professional		$81.31	$116.75	$175.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $45.09 / $67.42	Professional	26	$30.07	$45.09	$67.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.34 / $72.94 / $108.07	Professional	TC	$49.34	$72.94	$108.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $111.17 / $166.75	Professional		$0.77	$111.17	$166.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $42.23 / $59.41	Professional	26	$0.23	$42.23	$59.41
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $68.94 / $97.69	Professional	TC	$0.54	$68.94	$97.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $88.75 / $138.96	Professional		$0.77	$88.75	$138.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $35.19 / $52.79	Professional	26	$0.23	$35.19	$52.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.54 / $57.45 / $86.18	Professional	TC	$0.54	$57.45	$86.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $97.44 / $160.09	Professional		$75.03	$97.44	$160.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $38.26 / $84.63	Professional	26	$30.06	$38.26	$84.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.60 / $59.65 / $108.69	Professional	TC	$48.60	$59.65	$108.69