Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.22 / $33.47 / $40.18	Facility	26	$31.22	$33.47	$40.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $129.97 / $574.00	Professional		$101.07	$129.97	$574.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $38.07 / $172.84	Professional	26	$29.75	$38.07	$172.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.30 / $94.28 / $430.43	Professional	TC	$74.30	$94.28	$430.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $99.39 / $154.01	Professional		$68.37	$99.39	$154.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.98 / $31.03 / $68.03	Professional	26	$24.98	$31.03	$68.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $111.65 / $147.32	Professional		$101.28	$111.65	$147.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $33.54 / $43.95	Professional	26	$31.11	$33.54	$43.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.16 / $75.83 / $105.00	Professional	TC	$70.16	$75.83	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $131.10 / $200.02	Professional		$81.73	$131.10	$200.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $42.61 / $62.13	Professional	26	$27.29	$42.61	$62.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.94 / $92.23 / $137.88	Professional	TC	$58.94	$92.23	$137.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $126.35 / $189.52	Professional		$0.81	$126.35	$189.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $38.61 / $54.33	Professional	26	$0.36	$38.61	$54.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $87.73 / $127.94	Professional	TC	$44.67	$87.73	$127.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $101.32 / $157.94	Professional		$0.81	$101.32	$157.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $32.18 / $48.27	Professional	26	$0.36	$32.18	$48.27
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $73.11 / $109.67	Professional	TC	$0.45	$73.11	$109.67
United Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $111.52 / $191.65	Professional		$85.54	$111.52	$191.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $35.01 / $65.97	Professional	26	$27.52	$35.01	$65.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.81 / $76.51 / $133.56	Professional	TC	$60.81	$76.51	$133.56