Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.76 / $45.60 / $54.72	Facility	26	$44.76	$45.60	$54.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.29 / $337.00	Professional		$55.57	$66.29	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $47.94 / $231.00	Professional	26	$37.99	$47.94	$231.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.94 / $36.13	Professional	TC	$17.57	$19.94	$36.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $35.71 / $35.71	Professional	26	$35.71	$35.71	$35.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.86 / $81.13	Professional		$60.00	$66.86	$81.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $46.62 / $56.57	Professional	26	$42.54	$46.62	$56.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $20.23 / $24.56	Professional	TC	$17.46	$20.23	$24.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $76.02 / $126.94	Professional		$51.30	$76.02	$126.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $53.44 / $87.28	Professional	26	$35.11	$53.44	$87.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $23.13 / $37.42	Professional	TC	$16.18	$23.13	$37.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $78.26 / $114.14	Professional		$0.56	$78.26	$114.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $54.85 / $80.31	Professional	26	$0.44	$54.85	$80.31
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $23.98 / $33.85	Professional	TC	$0.23	$23.98	$33.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $63.47 / $97.83	Professional		$0.56	$63.47	$97.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $45.89 / $68.84	Professional	26	$0.44	$45.89	$68.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $29.01 / $29.97	Professional	TC	$0.12	$29.01	$29.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $79.81 / $121.93	Professional		$63.47	$79.81	$121.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $56.84 / $87.47	Professional	26	$38.11	$56.84	$87.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $23.90 / $36.03	Professional	TC	$16.00	$23.90	$36.03