Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.95 / $597.58 / $1,037.32	Professional		$371.95	$597.58	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $46.29 / $88.04	Professional	26	$32.90	$46.29	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $339.05 / $446.84 / $949.29	Professional	TC	$339.05	$446.84	$949.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.10 / $271.10 / $271.10	Professional		$271.10	$271.10	$271.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $29.04 / $29.04	Professional	26	$29.04	$29.04	$29.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $259.92 / $941.80	Professional		$259.92	$259.92	$941.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $24.34 / $96.45	Professional	26	$24.34	$24.34	$96.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.58 / $235.58 / $845.35	Professional	TC	$235.58	$235.58	$845.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $40.72 / $75.41	Facility	26	$38.29	$40.72	$75.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.84 / $505.17 / $898.49	Professional		$396.84	$505.17	$898.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $46.87 / $96.44	Professional	26	$42.04	$46.87	$96.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $352.03 / $458.30 / $809.84	Professional	TC	$352.03	$458.30	$809.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $569.78 / $906.23	Professional		$147.36	$569.78	$906.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $57.07 / $90.76	Professional	26	$12.95	$57.07	$90.76
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $134.41 / $512.73 / $815.48	Professional	TC	$134.41	$512.73	$815.48
United Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $371.20 / $942.94	Professional		$305.39	$371.20	$942.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $36.15 / $96.43	Professional	26	$31.05	$36.15	$96.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.38 / $347.80 / $846.51	Professional	TC	$270.38	$347.80	$846.51