Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.22 / $23.48 / $28.18	Facility	26	$22.22	$23.48	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.54 / $250.82 / $1,422.08	Professional		$220.54	$250.82	$1,422.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $35.29 / $137.85	Professional	26	$20.60	$35.29	$137.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.46 / $203.89 / $1,284.18	Professional	TC	$196.46	$203.89	$1,284.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.42 / $48.42 / $48.42	Professional	26	$48.42	$48.42	$48.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $288.13 / $349.67	Professional		$214.31	$288.13	$349.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $24.87 / $30.18	Professional	26	$21.90	$24.87	$30.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.40 / $263.26 / $319.48	Professional	TC	$192.40	$263.26	$319.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $362.78 / $421.93	Professional		$204.91	$362.78	$421.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $35.10 / $44.44	Professional	26	$19.52	$35.10	$44.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.39 / $327.96 / $378.36	Professional	TC	$185.39	$327.96	$378.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $252.67 / $332.68	Professional		$2.25	$252.67	$332.68
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $28.19 / $37.65	Professional	26	$0.27	$28.19	$37.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $173.72 / $235.01 / $313.98	Professional	TC	$173.72	$235.01	$313.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $207.04 / $315.83	Professional		$2.25	$207.04	$315.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.27 / $22.55 / $33.83	Professional	26	$0.27	$22.55	$33.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.98 / $282.02 / $345.12	Professional	TC	$1.98	$282.02	$345.12
United Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $260.83 / $454.63	Professional		$210.43	$260.83	$454.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $25.06 / $45.73	Professional	26	$19.89	$25.06	$45.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.26 / $233.67 / $409.41	Professional	TC	$189.26	$233.67	$409.41