Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.41 / $47.64 / $57.17	Facility	26	$45.41	$47.64	$57.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.86 / $2,051.82	Professional		$267.32	$329.86	$2,051.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $106.72 / $263.00	Professional	26	$43.47	$106.72	$263.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $282.22 / $1,766.78	Professional	TC	$223.84	$282.22	$1,766.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.02 / $69.02 / $69.02	Professional	26	$69.02	$69.02	$69.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $328.19 / $398.28	Professional		$310.83	$328.19	$398.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $54.15 / $65.70	Professional	26	$44.45	$54.15	$65.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.38 / $274.04 / $332.57	Professional	TC	$266.38	$274.04	$332.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.54 / $516.29 / $612.12	Professional		$299.54	$516.29	$612.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $73.62 / $90.81	Professional	26	$40.11	$73.62	$90.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.43 / $442.67 / $523.72	Professional	TC	$259.43	$442.67	$523.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $363.98 / $501.94	Professional		$1.69	$363.98	$501.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $57.29 / $76.54	Professional	26	$0.45	$57.29	$76.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $207.07 / $287.60 / $430.03	Professional	TC	$207.07	$287.60	$430.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $300.37 / $454.98	Professional		$1.69	$300.37	$454.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $45.83 / $68.75	Professional	26	$0.45	$45.83	$68.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.24 / $345.12 / $386.25	Professional	TC	$1.24	$345.12	$386.25
United Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $361.98 / $656.77	Professional		$241.57	$361.98	$656.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $61.11 / $94.77	Professional	26	$43.52	$61.11	$94.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.13 / $320.22 / $562.00	Professional	TC	$260.13	$320.22	$562.00