Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.08 / $27.08 / $32.50	Facility	26	$25.08	$27.08	$32.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $105.53 / $531.00	Professional		$92.43	$105.53	$531.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $27.17 / $132.83	Professional	26	$23.17	$27.17	$132.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.26 / $78.43 / $154.99	Professional	TC	$69.26	$78.43	$154.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $73.78 / $93.92	Professional		$64.55	$73.78	$93.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $38.86 / $38.86	Professional	26	$20.23	$38.86	$38.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $102.44 / $127.85	Professional		$87.12	$102.44	$127.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $28.62 / $35.10	Professional	26	$22.32	$28.62	$35.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.28 / $76.54 / $93.11	Professional	TC	$63.28	$76.54	$93.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $114.21 / $186.89	Professional		$83.07	$114.21	$186.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $31.60 / $50.16	Professional	26	$21.46	$31.60	$50.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $82.23 / $136.63	Professional	TC	$59.18	$82.23	$136.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $122.08 / $163.09	Professional		$0.72	$122.08	$163.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $31.95 / $40.90	Professional	26	$0.32	$31.95	$40.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $89.92 / $115.38	Professional	TC	$0.41	$89.92	$115.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $95.82 / $146.49	Professional		$0.72	$95.82	$146.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $25.56 / $38.34	Professional	26	$0.32	$25.56	$38.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $72.11 / $108.17	Professional	TC	$0.41	$72.11	$108.17
United Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $96.72 / $176.03	Professional		$72.19	$96.72	$176.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $28.51 / $50.71	Professional	26	$20.48	$28.51	$50.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.58 / $68.20 / $124.14	Professional	TC	$52.58	$68.20	$124.14