Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.38 / $37.53 / $45.04	Facility	26	$35.38	$37.53	$45.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $347.47 / $1,705.00	Professional		$251.87	$347.47	$1,705.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $49.16 / $202.40	Professional	26	$31.60	$49.16	$202.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $267.26 / $1,754.27	Professional	TC	$218.71	$267.26	$1,754.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $54.84 / $77.09	Professional	26	$54.84	$54.84	$77.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.18 / $289.18 / $350.95	Professional		$289.18	$289.18	$350.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $41.58 / $50.46	Professional	26	$34.92	$41.58	$50.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.60 / $247.60 / $300.99	Professional	TC	$247.60	$247.60	$300.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $471.46 / $585.26	Professional		$248.85	$471.46	$585.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $56.22 / $70.76	Professional	26	$31.48	$56.22	$70.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.37 / $415.36 / $515.62	Professional	TC	$217.37	$415.36	$515.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $348.01 / $458.22	Professional		$1.48	$348.01	$458.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $44.40 / $59.32	Professional	26	$0.41	$44.40	$59.32
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $203.96 / $287.60 / $402.09	Professional	TC	$203.96	$287.60	$402.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $286.77 / $435.02	Professional		$1.48	$286.77	$435.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $35.52 / $53.28	Professional	26	$0.41	$35.52	$53.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.07 / $345.12 / $381.74	Professional	TC	$1.07	$345.12	$381.74
United Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $331.09 / $630.91	Professional		$203.49	$331.09	$630.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.14 / $39.70 / $72.90	Professional	26	$28.14	$39.70	$72.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.27 / $303.87 / $558.01	Professional	TC	$258.27	$303.87	$558.01