Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $59.80 / $109.47	Professional		$51.79	$59.80	$109.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.52 / $47.79 / $117.30	Professional	26	$5.52	$47.79	$117.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.14 / $41.18 / $61.79	Professional	TC	$31.14	$41.18	$61.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $36.65 / $66.43	Professional		$32.78	$36.65	$66.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $15.98 / $79.43	Professional	26	$12.91	$15.98	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.77 / $24.77 / $38.54	Professional	TC	$24.77	$24.77	$38.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $40.98 / $109.63	Professional		$34.60	$40.98	$109.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $22.46 / $51.98	Professional	26	$13.57	$22.46	$51.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $18.52 / $63.43	Professional	TC	$18.52	$18.52	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $47.30 / $87.60	Facility		$44.49	$47.30	$87.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.35 / $19.50 / $36.11	Facility	26	$18.35	$19.50	$36.11
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.15 / $27.80 / $51.47	Facility	TC	$26.15	$27.80	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $53.18 / $107.52	Professional		$33.90	$53.18	$107.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $28.66 / $46.20	Professional	26	$13.95	$28.66	$46.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $24.52 / $65.56	Professional	TC	$19.96	$24.52	$65.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $69.02 / $109.77	Professional		$25.62	$69.02	$109.77
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $27.30 / $43.42	Professional	26	$13.38	$27.30	$43.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.24 / $41.72 / $66.34	Professional	TC	$12.24	$41.72	$66.34
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $61.71 / $125.10	Professional		$41.14	$61.71	$125.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $28.87 / $65.25	Professional	26	$17.32	$28.87	$65.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.81 / $28.43 / $63.52	Professional	TC	$23.81	$28.43	$63.52