Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.35 / $50.00 / $60.00	Facility	26	$47.35	$50.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $317.12 / $1,974.07	Professional		$293.82	$317.12	$1,974.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $105.41 / $286.00	Professional	26	$43.47	$105.41	$286.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $267.12 / $1,676.94	Professional	TC	$250.34	$267.12	$1,676.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $73.39 / $73.39 / $73.39	Professional	26	$73.39	$73.39	$73.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.76 / $338.76 / $460.82	Professional		$298.76	$338.76	$460.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.67 / $46.75 / $63.60	Professional	26	$46.67	$46.75	$63.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.09 / $292.01 / $397.22	Professional	TC	$252.09	$292.01	$397.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $480.50 / $588.46	Professional		$271.23	$480.50	$588.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $74.73 / $94.70	Professional	26	$40.90	$74.73	$94.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.33 / $407.49 / $495.69	Professional	TC	$230.33	$407.49	$495.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $363.20 / $508.48	Professional		$1.84	$363.20	$508.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $60.14 / $80.34	Professional	26	$0.49	$60.14	$80.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $218.21 / $320.56 / $445.23	Professional	TC	$218.21	$320.56	$445.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $287.16 / $435.84	Professional		$1.84	$287.16	$435.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $48.11 / $72.17	Professional	26	$0.49	$48.11	$72.17
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.35 / $363.68 / $469.74	Professional	TC	$1.35	$363.68	$469.74
United Facility/Professional Professional Modifier Low / Median / High Price $292.64 / $353.21 / $632.24	Professional		$292.64	$353.21	$632.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.65 / $58.72 / $98.74	Professional	26	$45.65	$58.72	$98.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.94 / $304.77 / $533.50	Professional	TC	$246.94	$304.77	$533.50