Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $49.64 / $59.57	Facility	26	$48.64	$49.64	$59.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $105.29 / $517.00	Professional		$92.72	$105.29	$517.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $52.09 / $253.00	Professional	26	$43.42	$52.09	$253.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.08 / $61.86 / $235.00	Professional	TC	$43.08	$61.86	$235.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $71.73 / $71.73	Professional		$71.73	$71.73	$71.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $38.75 / $38.75	Professional	26	$38.75	$38.75	$38.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $119.58 / $145.12	Professional		$86.99	$119.58	$145.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $50.87 / $61.73	Professional	26	$46.35	$50.87	$61.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $68.70 / $69.44	Professional	TC	$40.64	$68.70	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $158.90 / $231.79	Professional		$82.00	$158.90	$231.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $58.61 / $94.85	Professional	26	$38.15	$58.61	$94.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.84 / $79.95 / $151.08	Professional	TC	$43.84	$79.95	$151.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $118.16 / $166.22	Professional		$1.40	$118.16	$166.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.48 / $59.88 / $87.33	Professional	26	$0.48	$59.88	$87.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.83 / $56.36 / $81.14	Professional	TC	$1.83	$56.36	$81.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $92.26 / $142.47	Professional		$1.40	$92.26	$142.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.48 / $49.90 / $74.84	Professional	26	$0.48	$49.90	$74.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.92 / $67.62 / $70.45	Professional	TC	$0.92	$67.62	$70.45
United Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $121.43 / $208.34	Professional		$107.20	$121.43	$208.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $63.45 / $96.81	Professional	26	$34.10	$63.45	$96.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.20 / $66.88 / $134.06	Professional	TC	$49.20	$66.88	$134.06