Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.92 / $101.97 / $122.36	Facility	26	$99.92	$101.97	$122.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $351.89 / $1,328.00	Professional		$293.74	$351.89	$1,328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $107.00 / $425.60	Professional	26	$89.57	$107.00	$425.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $241.27 / $426.90	Professional	TC	$204.15	$241.27	$426.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.41 / $273.41 / $338.71	Professional		$273.41	$273.41	$338.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.16 / $450.17 / $551.72	Professional		$333.16	$450.17	$551.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.28 / $129.16 / $162.75	Professional	26	$98.28	$129.16	$162.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $230.25 / $321.00 / $389.56	Professional	TC	$230.25	$321.00	$389.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $392.36 / $660.48	Professional		$258.50	$392.36	$660.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.41 / $124.73 / $194.85	Professional	26	$79.41	$124.73	$194.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.10 / $273.61 / $465.64	Professional	TC	$179.10	$273.61	$465.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $485.21 / $615.29	Professional		$334.02	$485.21	$615.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.85 / $146.66 / $178.24	Professional	26	$101.85	$146.66	$178.24
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $247.08 / $337.16 / $442.14	Professional	TC	$247.08	$337.16	$442.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $338.71 / $351.60 / $527.40	Professional		$338.71	$351.60	$527.40
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.85 / $152.78 / $152.78	Professional	26	$101.85	$152.78	$152.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $249.75 / $374.63 / $390.12	Professional	TC	$249.75	$374.63	$390.12
United Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $418.05 / $634.94	Professional		$280.45	$418.05	$634.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.89 / $132.63 / $196.29	Professional	26	$90.89	$132.63	$196.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.49 / $294.16 / $438.65	Professional	TC	$176.49	$294.16	$438.65