Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $112.20	Facility	26	$93.33	$93.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $302.00	Professional		$128.82	$151.36	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $57.54 / $102.33	Professional	TC	$46.77	$57.54	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $275.42	Professional		$138.04	$138.04	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $51.29 / $91.20	Professional	TC	$50.12	$51.29	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $281.84	Professional		$144.54	$194.98	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $85.11 / $114.82	Professional	TC	$52.48	$85.11	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $173.78 / $239.88	Professional		$1.48	$173.78	$239.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $107.15 / $151.36	Professional	26	$0.72	$107.15	$151.36
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $67.61 / $93.33	Professional	TC	$40.74	$67.61	$93.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $213.80	Professional		$1.48	$1.48	$213.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $79.43 / $83.18	Professional	TC	$79.43	$79.43	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	TC	$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $288.40	Professional		$128.82	$169.82	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $61.66 / $107.15	Professional	TC	$40.74	$61.66	$107.15