Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.96 / $31.13 / $37.36	Facility	26	$28.96	$31.13	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $129.37 / $605.46	Professional		$97.33	$129.37	$605.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.31 / $44.28 / $171.00	Professional	26	$29.31	$44.28	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.11 / $88.18 / $202.19	Professional	TC	$70.11	$88.18	$202.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $106.59 / $182.32	Professional		$65.11	$106.59	$182.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $41.73 / $57.00	Professional	26	$23.17	$41.73	$57.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $102.13 / $140.22	Professional		$96.52	$102.13	$140.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $28.89 / $40.95	Professional	26	$27.62	$28.89	$40.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.62 / $72.87 / $102.30	Professional	TC	$67.62	$72.87	$102.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $118.42 / $186.05	Professional		$77.54	$118.42	$186.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.68 / $39.36 / $57.76	Professional	26	$25.68	$39.36	$57.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.07 / $83.53 / $132.90	Professional	TC	$50.07	$83.53	$132.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $119.97 / $180.88	Professional		$0.72	$119.97	$180.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $35.40 / $49.82	Professional	26	$0.32	$35.40	$49.82
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $86.33 / $123.88	Professional	TC	$0.41	$86.33	$123.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $96.46 / $147.50	Professional		$0.72	$96.46	$147.50
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $29.51 / $44.27	Professional	26	$0.32	$29.51	$44.27
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $68.81 / $103.23	Professional	TC	$0.41	$68.81	$103.23
United Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $106.83 / $194.43	Professional		$84.41	$106.83	$194.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $32.47 / $59.64	Professional	26	$23.33	$32.47	$59.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.73 / $74.34 / $136.53	Professional	TC	$55.73	$74.34	$136.53