Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.67 / $50.00 / $60.00	Facility	26	$47.67	$50.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $385.66 / $2,304.00	Professional		$318.73	$385.66	$2,304.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.06 / $50.00 / $296.95	Professional	26	$44.06	$50.00	$296.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $308.92 / $2,007.04	Professional	TC	$272.87	$308.92	$2,007.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.94 / $497.94 / $497.94	Professional		$497.94	$497.94	$497.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.80 / $363.72 / $441.40	Professional		$344.80	$363.72	$441.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.67 / $57.62 / $69.92	Professional	26	$46.67	$57.62	$69.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.13 / $306.10 / $371.47	Professional	TC	$298.13	$306.10	$371.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $546.79 / $678.79	Professional		$297.99	$546.79	$678.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $77.55 / $95.34	Professional	26	$41.73	$77.55	$95.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.26 / $472.06 / $586.01	Professional	TC	$256.26	$472.06	$586.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $402.90 / $530.49	Professional		$2.25	$402.90	$530.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $61.04 / $81.55	Professional	26	$0.55	$61.04	$81.55
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $238.52 / $344.48 / $479.16	Professional	TC	$238.52	$344.48	$479.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $327.58 / $503.63	Professional		$2.25	$327.58	$503.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $48.83 / $73.25	Professional	26	$0.55	$48.83	$73.25
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.71 / $430.38 / $469.74	Professional	TC	$1.71	$430.38	$469.74
United Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $416.23 / $736.97	Professional		$301.60	$416.23	$736.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $59.12 / $98.74	Professional	26	$45.04	$59.12	$98.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.12 / $357.11 / $638.23	Professional	TC	$219.12	$357.11	$638.23