Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $327.00 / $2,635.80	Facility		$49.23	$327.00	$2,635.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.96 / $30.79 / $36.95	Facility	26	$28.96	$30.79	$36.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $131.00 / $328.75	Professional		$58.44	$131.00	$328.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $32.21 / $179.30	Professional	26	$29.01	$32.21	$179.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $143.43 / $170.39	Professional	TC	$26.74	$143.43	$170.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $56.21 / $72.45	Professional		$45.64	$56.21	$72.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $42.86 / $57.14	Professional	26	$23.34	$42.86	$57.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $73.78 / $73.78	Facility		$59.02	$73.78	$73.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $60.20 / $164.12	Professional		$54.61	$60.20	$164.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $28.87 / $42.80	Professional	26	$28.57	$28.87	$42.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $31.46 / $134.68	Professional	TC	$26.03	$31.46	$134.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $104.33 / $232.61	Professional		$52.46	$104.33	$232.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $40.50 / $57.15	Professional	26	$27.08	$40.50	$57.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $51.30 / $182.09	Professional	TC	$25.17	$51.30	$182.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $97.84 / $252.57	Professional		$0.59	$97.84	$252.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $37.49 / $52.74	Professional	26	$0.18	$37.49	$52.74
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $50.05 / $195.47	Professional	TC	$0.41	$50.05	$195.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $63.95 / $95.93	Professional		$0.59	$63.95	$95.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $31.24 / $46.86	Professional	26	$0.18	$31.24	$46.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $32.71 / $49.07	Professional	TC	$0.41	$32.71	$49.07
United Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $70.16 / $219.32	Professional		$57.92	$70.16	$219.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $32.47 / $54.12	Professional	26	$24.15	$32.47	$54.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $32.40 / $186.24	Professional	TC	$25.62	$32.40	$186.24