Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $409.41 / $415.29 / $498.35	Facility	26	$409.41	$415.29	$498.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.38 / $2,278.04 / $10,935.00	Professional		$1,816.38	$2,278.04	$10,935.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $368.80 / $649.26 / $2,146.00	Professional	26	$368.80	$649.26	$2,146.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,401.09 / $1,745.82 / $8,523.54	Professional	TC	$1,401.09	$1,745.82	$8,523.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,373.91 / $1,435.43 / $1,794.29	Professional		$1,373.91	$1,435.43	$1,794.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $326.20 / $326.20 / $326.20	Professional	26	$326.20	$326.20	$326.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,710.05 / $2,375.05 / $2,882.35	Professional		$1,710.05	$2,375.05	$2,882.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $388.30 / $428.28 / $519.76	Professional	26	$388.30	$428.28	$519.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,321.75 / $1,946.77 / $2,258.42	Professional	TC	$1,321.75	$1,946.77	$2,258.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.21 / $2,209.81 / $3,370.61	Professional		$1,661.21	$2,209.81	$3,370.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $322.64 / $461.42 / $770.65	Professional	26	$322.64	$461.42	$770.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,220.19 / $1,804.78 / $2,700.51	Professional	TC	$1,220.19	$1,804.78	$2,700.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $2,370.94 / $3,299.57	Professional		$11.47	$2,370.94	$3,299.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.33 / $504.13 / $735.19	Professional	26	$3.33	$504.13	$735.19
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $1,711.25 / $2,597.98	Professional	TC	$16.23	$1,711.25	$2,597.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $1,794.29 / $2,963.69	Professional		$11.47	$1,794.29	$2,963.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.33 / $420.11 / $630.16	Professional	26	$3.33	$420.11	$630.16
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.14 / $1,188.50 / $2,333.52	Professional	TC	$8.14	$1,188.50	$2,333.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.20 / $2,436.50 / $3,672.68	Professional		$1,503.20	$2,436.50	$3,672.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $351.12 / $531.45 / $800.51	Professional	26	$351.12	$531.45	$800.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,218.65 / $1,895.61 / $2,805.51	Professional	TC	$1,218.65	$1,895.61	$2,805.51