Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.95 / $32.24 / $38.69	Facility	26	$30.95	$32.24	$38.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $151.75 / $466.00	Professional		$118.48	$151.75	$466.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $33.35 / $177.00	Professional	26	$29.98	$33.35	$177.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $107.87 / $206.32	Professional	TC	$87.95	$107.87	$206.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $24.76 / $34.20	Professional	26	$24.70	$24.76	$34.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $173.69 / $193.99	Professional		$133.00	$173.69	$193.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $33.04 / $45.15	Professional	26	$29.74	$33.04	$45.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.55 / $124.38 / $163.83	Professional	TC	$98.55	$124.38	$163.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $166.18 / $339.28	Professional		$100.19	$166.18	$339.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $42.26 / $60.36	Professional	26	$27.91	$42.26	$60.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.33 / $123.03 / $286.10	Professional	TC	$70.33	$123.03	$286.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $132.13 / $210.21	Professional		$1.24	$132.13	$210.21
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $37.96 / $55.35	Professional	26	$0.61	$37.96	$55.35
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.63 / $88.49 / $147.78	Professional	TC	$0.63	$88.49	$147.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $120.12 / $190.32	Professional		$1.24	$120.12	$190.32
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $31.63 / $47.45	Professional	26	$0.61	$31.63	$47.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.63 / $88.49 / $132.74	Professional	TC	$0.63	$88.49	$132.74
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $159.88 / $241.27	Professional		$101.46	$159.88	$241.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $34.29 / $56.67	Professional	26	$25.66	$34.29	$56.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.29 / $125.59 / $203.67	Professional	TC	$64.29	$125.59	$203.67