Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $259.68 / $484.79	Professional		$178.89	$259.68	$484.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $83.58 / $382.85	Professional	26	$46.62	$83.58	$382.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.18 / $167.28 / $359.94	Professional	TC	$131.18	$167.28	$359.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $172.56 / $555.66	Professional		$138.91	$172.56	$555.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $38.25 / $240.52	Professional	26	$38.25	$38.25	$240.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $195.34 / $195.34 / $195.34	Professional	TC	$195.34	$195.34	$195.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $449.98	Professional		$108.00	$108.00	$449.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.14 / $35.14 / $138.60	Professional	26	$35.14	$35.14	$138.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.86 / $72.86 / $311.38	Professional	TC	$72.86	$72.86	$311.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.81 / $202.86 / $375.68	Facility		$190.81	$202.86	$375.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.82 / $58.28 / $107.91	Facility	26	$54.82	$58.28	$107.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $136.00 / $144.59 / $267.77	Facility	TC	$136.00	$144.59	$267.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $145.97 / $482.62	Professional		$122.64	$145.97	$482.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $41.56 / $138.59	Professional	26	$39.68	$41.56	$138.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.32 / $104.41 / $351.45	Professional	TC	$82.32	$104.41	$351.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $291.62 / $463.81	Professional		$70.15	$291.62	$463.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.86 / $80.16 / $127.49	Professional	26	$18.86	$80.16	$127.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.28 / $211.45 / $336.30	Professional	TC	$51.28	$211.45	$336.30
United Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $173.02 / $450.40	Professional		$140.71	$173.02	$450.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $52.42 / $191.82	Professional	26	$47.38	$52.42	$191.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $122.51 / $311.81	Professional	TC	$93.33	$122.51	$311.81