Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $48.09 / $57.71	Facility	26	$45.08	$48.09	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.33 / $232.79 / $922.00	Professional		$154.33	$232.79	$922.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $53.05 / $263.00	Professional	26	$44.82	$53.05	$263.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.43 / $123.81 / $314.82	Professional	TC	$111.43	$123.81	$314.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $130.34 / $233.08	Professional		$117.91	$130.34	$233.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $69.87 / $98.23	Professional	26	$36.07	$69.87	$98.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $157.90 / $227.43	Professional		$131.76	$157.90	$227.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.34 / $43.81 / $64.43	Professional	26	$37.34	$43.81	$64.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.41 / $115.13 / $159.91	Professional	TC	$94.41	$115.13	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $200.32 / $297.51	Professional		$134.66	$200.32	$297.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.46 / $60.25 / $89.24	Professional	26	$38.46	$60.25	$89.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.47 / $140.94 / $208.27	Professional	TC	$96.47	$140.94	$208.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $203.66 / $261.62	Professional		$153.34	$203.66	$261.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.80 / $60.14 / $76.98	Professional	26	$43.80	$60.14	$76.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $105.03 / $149.26 / $184.64	Professional	TC	$105.03	$149.26	$184.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $234.99 / $234.99	Professional		$156.66	$234.99	$234.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $69.15 / $69.15	Professional	26	$46.10	$69.15	$69.15
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $110.56 / $165.84 / $165.84	Professional	TC	$110.56	$165.84	$165.84
United Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $188.97 / $303.70	Professional		$135.56	$188.97	$303.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $56.38 / $94.11	Professional	26	$39.72	$56.38	$94.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $132.59 / $219.38	Professional	TC	$96.78	$132.59	$219.38