Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $79.67 / $323.85	Professional		$51.88	$79.67	$323.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $68.20 / $272.00	Professional	26	$31.70	$68.20	$272.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.82 / $58.15 / $64.34	Professional	52	$20.82	$58.15	$64.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $61.74 / $549.25	Professional	TC	$28.37	$61.74	$549.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $39.51 / $277.76	Professional		$34.72	$39.51	$277.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $21.57 / $108.86	Professional	26	$17.44	$21.57	$108.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $21.37 / $33.51	Professional	TC	$21.37	$21.37	$33.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $114.28	Professional		$42.34	$42.34	$114.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $24.13 / $62.95	Professional	26	$18.30	$24.13	$62.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $18.21 / $51.32	Professional	TC	$18.14	$18.21	$51.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $49.98 / $92.56	Facility		$47.02	$49.98	$92.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $26.33 / $48.77	Facility	26	$24.76	$26.33	$48.77
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.24 / $23.65 / $43.80	Facility	TC	$22.24	$23.65	$43.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $55.32 / $120.10	Professional		$36.18	$55.32	$120.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $18.80 / $62.94	Professional	26	$18.38	$18.80	$62.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $36.94 / $60.33	Professional	TC	$17.36	$36.94	$60.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $73.58 / $117.03	Professional		$16.38	$73.58	$117.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $36.78 / $58.50	Professional	26	$8.43	$36.78	$58.50
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.96 / $36.79 / $58.53	Professional	TC	$7.96	$36.79	$58.53
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 $42.88 / $49.71 / $132.29	Professional		$42.88	$49.71	$132.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.61 / $23.61 / $100.32	Professional	26	$21.61	$23.61	$100.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $32.11 / $71.50	Professional	TC	$19.27	$32.11	$71.50