Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $134.71 / $281.88	Professional		$92.21	$134.71	$281.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.36 / $69.27 / $236.73	Professional	26	$55.36	$69.27	$236.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $71.73 / $179.77	Professional	TC	$61.86	$71.73	$179.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $100.26 / $167.94	Professional		$82.98	$100.26	$167.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $40.34 / $203.09	Professional	26	$32.61	$40.34	$203.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.58 / $97.58 / $97.58	Professional	TC	$97.58	$97.58	$97.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $63.22 / $251.60	Professional		$63.22	$63.22	$251.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $29.95 / $118.39	Professional	26	$29.95	$29.95	$118.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.26 / $33.26 / $133.19	Professional	TC	$33.26	$33.26	$133.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $109.48 / $202.74	Facility		$102.97	$109.48	$202.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.79 / $49.74 / $92.12	Facility	26	$46.79	$49.74	$92.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $83.42 / $272.22	Professional		$72.23	$83.42	$272.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $35.49 / $118.37	Professional	26	$34.40	$35.49	$118.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $44.88 / $165.75	Professional	TC	$37.65	$44.88	$165.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $174.84 / $278.07	Professional		$35.17	$174.84	$278.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $68.64 / $109.17	Professional	26	$16.12	$68.64	$109.17
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $106.20 / $168.90	Professional	TC	$19.04	$106.20	$168.90
United Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $74.64 / $74.64	Facility		$74.64	$74.64	$74.64
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $94.41 / $251.76	Professional		$78.45	$94.41	$251.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.64 / $44.60 / $118.37	Professional	26	$40.64	$44.60	$118.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.68 / $50.07 / $133.38	Professional	TC	$42.68	$50.07	$133.38