Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.92 / $81.99 / $98.39	Facility	26	$79.92	$81.99	$98.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.27 / $626.15 / $2,745.00	Professional		$451.27	$626.15	$2,745.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $130.69 / $415.00	Professional	26	$71.87	$130.69	$415.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.69 / $468.45 / $2,382.79	Professional	TC	$365.69	$468.45	$2,382.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $325.22 / $427.17	Professional		$325.22	$325.22	$427.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.57 / $174.15 / $174.15	Professional	26	$63.57	$174.15	$174.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.53 / $541.09 / $656.66	Professional		$430.53	$541.09	$656.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.51 / $83.36 / $101.16	Professional	26	$76.51	$83.36	$101.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.01 / $457.73 / $555.50	Professional	TC	$354.01	$457.73	$555.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $517.69 / $847.12	Professional		$374.85	$517.69	$847.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.69 / $95.78 / $159.80	Professional	26	$62.69	$95.78	$159.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.79 / $424.79 / $694.98	Professional	TC	$297.79	$424.79	$694.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $556.34 / $770.50	Professional		$2.27	$556.34	$770.50
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.79 / $98.36 / $143.75	Professional	26	$0.79	$98.36	$143.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.96 / $432.87 / $635.13	Professional	TC	$2.96	$432.87	$635.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $427.17 / $667.61	Professional		$2.27	$427.17	$667.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.79 / $82.14 / $123.21	Professional	26	$0.79	$82.14	$123.21
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.49 / $322.38 / $544.40	Professional	TC	$1.49	$322.38	$544.40
United Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $635.17 / $940.06	Professional		$341.61	$635.17	$940.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.58 / $102.49 / $157.57	Professional	26	$68.58	$102.49	$157.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $528.71 / $782.49	Professional	TC	$286.19	$528.71	$782.49