Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.12 / $56.18 / $67.42	Facility	26	$53.12	$56.18	$67.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $334.04 / $2,094.14	Professional		$316.77	$334.04	$2,094.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $57.57 / $331.49	Professional	26	$49.03	$57.57	$331.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.93 / $280.99 / $1,762.60	Professional	TC	$266.93	$280.99	$1,762.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.73 / $80.73 / $115.75	Professional	26	$80.73	$80.73	$115.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $426.66 / $517.79	Professional		$314.64	$426.66	$517.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.38 / $59.14 / $71.77	Professional	26	$52.38	$59.14	$71.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.25 / $367.52 / $446.02	Professional	TC	$262.25	$367.52	$446.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $539.92 / $619.87	Professional		$304.77	$539.92	$619.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.21 / $83.98 / $106.24	Professional	26	$46.21	$83.98	$106.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.56 / $457.46 / $515.62	Professional	TC	$258.56	$457.46	$515.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $371.53 / $489.18	Professional		$3.15	$371.53	$489.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $67.23 / $89.83	Professional	26	$0.54	$67.23	$89.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $218.58 / $290.75 / $404.21	Professional	TC	$218.58	$290.75	$404.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $304.25 / $464.42	Professional		$3.15	$304.25	$464.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.54 / $53.79 / $80.69	Professional	26	$0.54	$53.79	$80.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.61 / $345.12 / $383.75	Professional	TC	$2.61	$345.12	$383.75
United Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $396.90 / $676.82	Professional		$310.45	$396.90	$676.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $65.91 / $112.89	Professional	26	$50.82	$65.91	$112.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.52 / $317.95 / $571.13	Professional	TC	$259.52	$317.95	$571.13