Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.44 / $56.52 / $67.81	Facility	26	$53.44	$56.52	$67.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $192.97 / $1,036.89	Professional		$162.22	$192.97	$1,036.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $84.73 / $310.00	Professional	26	$51.54	$84.73	$310.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $123.93 / $703.42	Professional	TC	$110.68	$123.93	$703.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.23 / $81.23 / $81.23	Professional	26	$81.23	$81.23	$81.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $193.22 / $234.48	Professional		$164.46	$193.22	$234.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.70 / $64.19 / $77.90	Professional	26	$52.70	$64.19	$77.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.76 / $129.03 / $156.58	Professional	TC	$111.76	$129.03	$156.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $269.14 / $340.02	Professional		$146.55	$269.14	$340.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.01 / $86.99 / $106.89	Professional	26	$47.01	$86.99	$106.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.53 / $182.16 / $233.14	Professional	TC	$99.53	$182.16	$233.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $206.23 / $271.54	Professional		$1.82	$206.23	$271.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $67.23 / $89.83	Professional	26	$0.63	$67.23	$89.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $106.27 / $159.41 / $344.48	Professional	TC	$106.27	$159.41	$344.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $170.01 / $257.79	Professional		$1.82	$170.01	$257.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $53.79 / $80.69	Professional	26	$0.63	$53.79	$80.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.19 / $177.12 / $469.74	Professional	TC	$1.19	$177.12	$469.74
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $227.44 / $344.07	Professional		$155.22	$227.44	$344.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $65.90 / $110.68	Professional	26	$51.13	$65.90	$110.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.52 / $122.34 / $230.51	Professional	TC	$79.52	$122.34	$230.51