Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.08 / $106.47 / $127.76	Facility	26	$104.08	$106.47	$127.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $197.12 / $764.25	Professional		$135.12	$197.12	$764.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.01 / $134.22 / $568.00	Professional	26	$96.01	$134.22	$568.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $88.89 / $149.44	Professional	TC	$31.01	$88.89	$149.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $113.46 / $113.46	Professional		$111.54	$113.46	$113.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.81 / $226.79 / $226.79	Professional	26	$82.81	$226.79	$226.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $219.21 / $236.40	Professional		$126.36	$219.21	$236.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.37 / $112.00 / $135.91	Professional	26	$99.37	$112.00	$135.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $57.80 / $124.40	Professional	TC	$26.98	$57.80	$124.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $279.29 / $499.69	Professional		$144.15	$279.29	$499.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.18 / $128.58 / $202.95	Professional	26	$84.18	$128.58	$202.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.85 / $75.48 / $366.83	Professional	TC	$35.85	$75.48	$366.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $182.26 / $262.45	Professional		$2.63	$182.26	$262.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $127.76 / $186.32	Professional	26	$0.38	$127.76	$186.32
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.49 / $50.83 / $72.78	Professional	TC	$4.49	$50.83	$72.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $141.82 / $218.72	Professional		$2.63	$141.82	$218.72
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $106.47 / $159.71	Professional	26	$0.38	$106.47	$159.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.25 / $59.01 / $60.99	Professional	TC	$2.25	$59.01	$60.99
United Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $225.67 / $546.62	Professional		$136.78	$225.67	$546.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.75 / $136.50 / $204.98	Professional	26	$74.75	$136.50	$204.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.79 / $48.06 / $321.64	Professional	TC	$28.79	$48.06	$321.64