Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $42.66	Facility	26	$34.67	$34.67	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $1,905.46	Professional		$275.42	$338.84	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $190.55	Professional	26	$30.90	$43.65	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $302.00 / $537.03	Professional	TC	$251.19	$302.00	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $27.54 / $66.07	Professional	26	$26.30	$27.54	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $512.86	Professional		$295.12	$295.12	$512.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $56.23	Professional	26	$32.36	$32.36	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $446.68	Professional	TC	$257.04	$257.04	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $562.34	Professional		$309.03	$501.19	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $66.07	Professional	26	$33.11	$56.23	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $436.52 / $501.19	Professional	TC	$275.42	$436.52	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $389.05 / $501.19	Professional		$1.35	$389.05	$501.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $45.71 / $58.88	Professional	26	$0.45	$45.71	$58.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $338.84 / $416.87	Professional	TC	$208.93	$338.84	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $426.58	Professional		$1.35	$1.35	$426.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $0.45 / $50.12	Professional	26	$0.45	$0.45	$50.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $380.19	Professional	TC	$346.74	$346.74	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	TC	$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $616.60	Professional		$275.42	$354.81	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $40.74 / $66.07	Professional	26	$29.51	$40.74	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $316.23 / $549.54	Professional	TC	$245.47	$316.23	$549.54