Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $223.87 / $269.15	Facility	26	$223.87	$223.87	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $1,949.84	Professional		$436.52	$512.86	$1,949.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $275.42 / $1,096.48	Professional	26	$199.53	$275.42	$1,096.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $512.86	Professional	TC	$229.09	$269.15	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $588.84	Professional		$346.74	$371.54	$588.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $194.98 / $281.84	Professional	26	$169.82	$194.98	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $912.01	Professional		$426.58	$457.09	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $398.11	Professional	26	$208.93	$208.93	$398.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $257.04 / $467.74	Professional	TC	$218.78	$257.04	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $912.01	Professional		$426.58	$562.34	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $269.15 / $436.52	Professional	26	$194.98	$269.15	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $302.00 / $478.63	Professional	TC	$245.47	$302.00	$478.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $575.44 / $794.33	Professional		$3.63	$575.44	$794.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.51 / $269.15 / $380.19	Professional	26	$1.51	$269.15	$380.19
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $416.87	Professional	TC	$194.98	$316.23	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $724.44	Professional		$3.63	$3.63	$724.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.51 / $1.51 / $338.84	Professional	26	$1.51	$1.51	$338.84
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $323.59 / $380.19	Professional	TC	$323.59	$323.59	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $223.87 / $223.87	Professional	26	$218.78	$223.87	$223.87
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $251.19 / $251.19	Professional	TC	$239.88	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $912.01	Professional		$389.05	$616.60	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $288.40 / $426.58	Professional	26	$177.83	$288.40	$426.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $331.13 / $501.19	Professional	TC	$199.53	$331.13	$501.19