Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $37.85 / $45.42	Facility	26	$36.40	$37.85	$45.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $274.25 / $1,114.78	Professional		$171.22	$274.25	$1,114.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $57.74 / $187.00	Professional	26	$32.20	$57.74	$187.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $235.28 / $1,110.00	Professional	TC	$140.87	$235.28	$1,110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.81 / $259.81 / $259.81	Professional		$259.81	$259.81	$259.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $79.31 / $79.31	Professional	26	$28.98	$79.31	$79.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.78 / $238.81 / $312.52	Professional		$196.78	$238.81	$312.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $37.52 / $45.53	Professional	26	$35.24	$37.52	$45.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.26 / $193.27 / $270.80	Professional	TC	$159.26	$193.27	$270.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.82 / $268.76 / $497.15	Professional		$157.82	$268.76	$497.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.13 / $43.31 / $72.80	Professional	26	$28.13	$43.31	$72.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.69 / $228.26 / $426.91	Professional	TC	$129.69	$228.26	$426.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $270.57 / $451.85	Professional		$1.15	$270.57	$451.85
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $43.94 / $64.61	Professional	26	$0.35	$43.94	$64.61
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.62 / $194.00 / $390.20	Professional	TC	$1.62	$194.00	$390.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $259.81 / $405.86	Professional		$1.15	$259.81	$405.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $36.92 / $55.38	Professional	26	$0.35	$36.92	$55.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $115.22 / $350.48	Professional	TC	$0.81	$115.22	$350.48
United Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $345.06 / $520.24	Professional		$172.50	$345.06	$520.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $45.65 / $70.92	Professional	26	$25.30	$45.65	$70.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.04 / $292.50 / $452.66	Professional	TC	$159.04	$292.50	$452.66