Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.88 / $76.62 / $91.94	Facility	26	$71.88	$76.62	$91.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $499.17 / $2,693.00	Professional		$433.44	$499.17	$2,693.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $82.75 / $343.00	Professional	26	$71.50	$82.75	$343.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $357.56 / $414.12 / $2,330.04	Professional	TC	$357.56	$414.12	$2,330.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.26 / $156.63 / $156.63	Professional	26	$109.26	$156.63	$156.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.08 / $483.88 / $587.23	Professional		$426.08	$483.88	$587.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.43 / $83.44 / $101.26	Professional	26	$71.43	$83.44	$101.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.64 / $400.44 / $485.97	Professional	TC	$354.64	$400.44	$485.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.96 / $713.93 / $839.73	Professional		$423.96	$713.93	$839.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $114.54 / $143.76	Professional	26	$62.50	$114.54	$143.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $361.46 / $600.25 / $697.54	Professional	TC	$361.46	$600.25	$697.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $513.41 / $694.11	Professional		$3.81	$513.41	$694.11
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.74 / $92.71 / $123.86	Professional	26	$0.74	$92.71	$123.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $318.31 / $541.13 / $826.18	Professional	TC	$318.31	$541.13	$826.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $408.25 / $641.78	Professional		$3.81	$408.25	$641.78
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.74 / $74.17 / $111.26	Professional	26	$0.74	$74.17	$111.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.07 / $530.52 / $1,126.60	Professional	TC	$3.07	$530.52	$1,126.60
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $654.45 / $913.23	Professional		$411.98	$654.45	$913.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.72 / $89.08 / $153.22	Professional	26	$68.72	$89.08	$153.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $343.26 / $524.24 / $760.91	Professional	TC	$343.26	$524.24	$760.91