Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.67 / $59.74 / $71.69	Facility	26	$58.67	$59.74	$71.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $212.16 / $1,476.75	Professional		$122.97	$212.16	$1,476.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.92 / $224.18 / $990.00	Professional	26	$56.92	$224.18	$990.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.85 / $94.98 / $389.70	Professional	TC	$63.85	$94.98	$389.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $98.13 / $122.66	Professional		$98.13	$98.13	$122.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.60 / $127.84 / $127.84	Professional	26	$46.60	$127.84	$127.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $164.11 / $197.47	Professional		$115.57	$164.11	$197.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $66.15 / $80.27	Professional	26	$55.88	$66.15	$80.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.69 / $97.96 / $101.99	Professional	TC	$59.69	$97.96	$101.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $187.56 / $245.33	Professional		$123.93	$187.56	$245.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $76.09 / $117.34	Professional	26	$49.56	$76.09	$117.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.70 / $109.26 / $148.29	Professional	TC	$71.70	$109.26	$148.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $164.48 / $221.86	Professional		$1.40	$164.48	$221.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.64 / $72.64 / $105.93	Professional	26	$0.64	$72.64	$105.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.51 / $87.19 / $118.58	Professional	TC	$1.51	$87.19	$118.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $122.66 / $191.01	Professional		$1.40	$122.66	$191.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.64 / $60.53 / $90.80	Professional	26	$0.64	$60.53	$90.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.76 / $100.22 / $104.63	Professional	TC	$0.76	$100.22	$104.63
United Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $191.17 / $245.47	Professional		$127.89	$191.17	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.05 / $76.95 / $116.18	Professional	26	$44.05	$76.95	$116.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $102.94 / $139.74	Professional	TC	$67.48	$102.94	$139.74