Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $40.22 / $48.28	Facility	26	$38.29	$40.22	$48.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $305.83 / $1,490.00	Professional		$229.62	$305.83	$1,490.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $90.28 / $222.00	Professional	26	$36.75	$90.28	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $236.59 / $1,543.23	Professional	TC	$192.87	$236.59	$1,543.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.79 / $388.79 / $388.79	Professional		$388.79	$388.79	$388.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.35 / $59.35 / $59.35	Professional	26	$59.35	$59.35	$59.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.99 / $258.99 / $314.30	Professional		$258.99	$258.99	$314.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $45.84 / $55.62	Professional	26	$37.46	$45.84	$55.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.15 / $213.15 / $262.57	Professional	TC	$213.15	$213.15	$262.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $422.63 / $524.64	Professional		$217.06	$422.63	$524.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.69 / $62.17 / $76.58	Professional	26	$33.69	$62.17	$76.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.37 / $362.50 / $449.99	Professional	TC	$183.37	$362.50	$449.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $311.17 / $409.71	Professional		$1.53	$311.17	$409.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $48.16 / $64.34	Professional	26	$0.41	$48.16	$64.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $172.91 / $264.94 / $368.70	Professional	TC	$172.91	$264.94	$368.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $255.78 / $388.97	Professional		$1.53	$255.78	$388.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $38.53 / $57.80	Professional	26	$0.41	$38.53	$57.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $331.17 / $345.12	Professional	TC	$1.12	$331.17	$345.12
United Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $300.32 / $571.27	Professional		$213.20	$300.32	$571.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $47.14 / $80.19	Professional	26	$31.27	$47.14	$80.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.86 / $258.17 / $491.08	Professional	TC	$186.86	$258.17	$491.08