Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.67 / $38.86 / $46.64	Facility	26	$36.67	$38.86	$46.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $181.28 / $743.00	Professional		$120.30	$181.28	$743.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $42.39 / $102.00	Professional	26	$34.46	$42.39	$102.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.07 / $100.14 / $532.15	Professional	TC	$87.07	$100.14	$532.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $103.40 / $184.89	Professional		$93.78	$103.40	$184.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $56.84 / $79.90	Professional	26	$29.53	$56.84	$79.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $124.32 / $180.02	Professional		$104.30	$124.32	$180.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.16 / $35.24 / $51.76	Professional	26	$30.16	$35.24	$51.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $89.96 / $125.44	Professional	TC	$74.13	$89.96	$125.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $157.94 / $235.56	Professional		$106.58	$157.94	$235.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $48.57 / $72.14	Professional	26	$30.94	$48.57	$72.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.75 / $110.19 / $163.41	Professional	TC	$75.75	$110.19	$163.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $160.78 / $206.55	Professional		$121.64	$160.78	$206.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $48.71 / $62.57	Professional	26	$35.60	$48.71	$62.57
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.89 / $116.37 / $143.94	Professional	TC	$81.89	$116.37	$143.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $185.52 / $185.52	Professional		$123.68	$185.52	$185.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $56.21 / $56.21	Professional	26	$37.47	$56.21	$56.21
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $129.30 / $129.30	Professional	TC	$86.20	$129.30	$129.30
United Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $150.06 / $244.40	Professional		$108.92	$150.06	$244.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $46.05 / $78.87	Professional	26	$32.94	$46.05	$78.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.87 / $104.01 / $172.10	Professional	TC	$75.87	$104.01	$172.10