Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.22 / $42.58 / $51.10	Facility	26	$40.22	$42.58	$51.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.38 / $436.79 / $2,628.51	Professional		$397.38	$436.79	$2,628.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $60.91 / $245.00	Professional	26	$37.29	$60.91	$245.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $358.29 / $399.06 / $2,375.85	Professional	TC	$358.29	$399.06	$2,375.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $573.50 / $573.50 / $573.50	Professional		$573.50	$573.50	$573.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $62.36 / $87.66	Professional	26	$32.19	$62.36	$87.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $354.57 / $482.33	Professional		$354.57	$354.57	$482.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $39.49 / $53.72	Professional	26	$39.49	$39.49	$53.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $315.08 / $315.08 / $428.61	Professional	TC	$315.08	$315.08	$428.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $672.03 / $774.47	Professional		$379.53	$672.03	$774.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.49 / $63.65 / $80.45	Professional	26	$34.49	$63.65	$80.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $345.04 / $610.45 / $695.45	Professional	TC	$345.04	$610.45	$695.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $459.35 / $604.80	Professional		$1.89	$459.35	$604.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $55.09 / $68.15	Professional	26	$0.63	$55.09	$68.15
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $249.59 / $391.45 / $540.30	Professional	TC	$249.59	$391.45	$540.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $377.30 / $574.19	Professional		$1.89	$377.30	$574.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $40.81 / $61.22	Professional	26	$0.63	$40.81	$61.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.26 / $469.74 / $512.96	Professional	TC	$1.26	$469.74	$512.96
United Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $493.23 / $841.11	Professional		$388.67	$493.23	$841.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $49.54 / $84.16	Professional	26	$38.65	$49.54	$84.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.71 / $427.40 / $762.15	Professional	TC	$349.71	$427.40	$762.15