Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.79 / $110.11 / $132.13	Facility	26	$104.79	$110.11	$132.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.80 / $475.00 / $2,053.60	Professional		$365.80	$475.00	$2,053.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.11 / $154.00 / $571.12	Professional	26	$110.11	$154.00	$571.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.66 / $335.00 / $783.89	Professional	TC	$245.66	$335.00	$783.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $268.74 / $510.60	Professional		$268.74	$268.74	$510.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.64 / $150.44 / $228.34	Professional	26	$84.64	$150.44	$228.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.17 / $437.06 / $588.07	Professional		$344.17	$437.06	$588.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.55 / $130.22 / $175.22	Professional	26	$102.55	$130.22	$175.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.61 / $306.83 / $425.12	Professional	TC	$241.61	$306.83	$425.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $447.44 / $671.84	Professional		$314.60	$447.44	$671.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.08 / $130.35 / $204.32	Professional	26	$90.08	$130.35	$204.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.54 / $321.98 / $474.47	Professional	TC	$229.54	$321.98	$474.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $441.21 / $543.02	Professional		$3.15	$441.21	$543.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.17 / $136.72 / $184.07	Professional	26	$1.17	$136.72	$184.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.98 / $311.17 / $409.87	Professional	TC	$1.98	$311.17	$409.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $339.39 / $509.09	Professional		$3.15	$339.39	$509.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.17 / $105.18 / $157.77	Professional	26	$1.17	$105.18	$157.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.98 / $234.21 / $351.32	Professional	TC	$1.98	$234.21	$351.32
United Facility/Professional Professional Modifier Low / Median / High Price $341.29 / $626.70 / $1,224.39	Professional		$341.29	$626.70	$1,224.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.25 / $100.01 / $217.65	Professional	26	$68.25	$100.01	$217.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.25 / $467.46 / $1,062.90	Professional	TC	$243.25	$467.46	$1,062.90