Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $35.17 / $42.20	Facility	26	$33.11	$35.17	$42.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.37 / $310.35 / $1,945.50	Professional		$295.37	$310.35	$1,945.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $50.16 / $197.00	Professional	26	$31.26	$50.16	$197.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.50 / $287.36 / $1,739.61	Professional	TC	$263.50	$287.36	$1,739.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $26.49 / $49.02	Professional	26	$26.49	$26.49	$49.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.41 / $347.79 / $473.11	Professional		$292.41	$347.79	$473.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $32.71 / $44.50	Professional	26	$32.70	$32.71	$44.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.70 / $315.08 / $428.61	Professional	TC	$259.70	$315.08	$428.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.17 / $490.81 / $575.90	Professional		$277.17	$490.81	$575.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.69 / $52.57 / $66.23	Professional	26	$28.69	$52.57	$66.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.48 / $439.61 / $510.63	Professional	TC	$248.48	$439.61	$510.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $342.00 / $463.05	Professional		$1.35	$342.00	$463.05
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $45.00 / $55.98	Professional	26	$0.45	$45.00	$55.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $207.07 / $299.50 / $415.98	Professional	TC	$207.07	$299.50	$415.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $281.01 / $427.50	Professional		$1.35	$281.01	$427.50
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $33.52 / $50.28	Professional	26	$0.45	$33.52	$50.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.90 / $345.12 / $377.22	Professional	TC	$0.90	$345.12	$377.22
United Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $360.31 / $637.84	Professional		$287.74	$360.31	$637.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $41.15 / $68.26	Professional	26	$31.59	$41.15	$68.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $381.42 / $553.39	Professional	TC	$256.14	$381.42	$553.39