Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.43 / $76.73 / $92.09	Facility	26	$72.43	$76.73	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $475.00 / $1,456.51	Professional		$229.63	$475.00	$1,456.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $116.83 / $452.58	Professional	26	$76.73	$116.83	$452.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.16 / $276.50 / $1,003.92	Professional	TC	$151.16	$276.50	$1,003.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $171.72 / $179.07	Professional		$171.72	$171.72	$179.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $58.17 / $58.17	Professional	26	$58.17	$58.17	$58.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $277.80 / $373.78	Professional		$218.75	$277.80	$373.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.43 / $90.72 / $122.06	Professional	26	$71.43	$90.72	$122.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.32 / $192.99 / $257.83	Professional	TC	$147.32	$192.99	$257.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $283.01 / $429.30	Professional		$198.67	$283.01	$429.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $90.78 / $142.40	Professional	26	$62.61	$90.78	$142.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.16 / $195.24 / $289.01	Professional	TC	$139.16	$195.24	$289.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $270.48 / $350.00	Professional		$2.43	$270.48	$350.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $87.26 / $116.35	Professional	26	$0.63	$87.26	$116.35
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.80 / $186.76 / $239.91	Professional	TC	$1.80	$186.76	$239.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $214.65 / $324.57	Professional		$2.43	$214.65	$324.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $72.72 / $109.08	Professional	26	$0.63	$72.72	$109.08
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.80 / $205.94 / $215.49	Professional	TC	$1.80	$205.94	$215.49
United Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $467.58 / $1,133.88	Professional		$217.18	$467.58	$1,133.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.55 / $72.43 / $150.43	Professional	26	$58.55	$72.43	$150.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.54 / $321.14 / $1,043.24	Professional	TC	$147.54	$321.14	$1,043.24