Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $373.22 / $721.25	Professional		$282.58	$373.22	$721.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.08 / $149.78 / $568.10	Professional	26	$82.08	$149.78	$568.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $232.07 / $500.72	Professional	TC	$181.94	$232.07	$500.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $416.94 / $416.94	Professional		$416.94	$416.94	$416.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $67.50 / $425.12	Professional	26	$67.50	$67.50	$425.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $271.72 / $271.72 / $271.72	Professional	TC	$271.72	$271.72	$271.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $164.02 / $683.67	Professional		$164.02	$164.02	$683.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.35 / $62.35 / $244.28	Professional	26	$62.35	$62.35	$244.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.66 / $101.66 / $439.39	Professional	TC	$101.66	$101.66	$439.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $102.65 / $190.10	Facility	26	$96.55	$102.65	$190.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.54 / $221.58 / $721.17	Professional		$185.54	$221.58	$721.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $72.87 / $244.25	Professional	26	$69.44	$72.87	$244.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.61 / $148.69 / $489.82	Professional	TC	$114.61	$148.69	$489.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $433.92 / $690.14	Professional		$105.89	$433.92	$690.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $141.09 / $224.40	Professional	26	$33.36	$141.09	$224.40
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $72.53 / $292.85 / $465.76	Professional	TC	$72.53	$292.85	$465.76
United Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $263.30 / $684.26	Professional		$213.21	$263.30	$684.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.32 / $92.80 / $312.64	Professional	26	$83.32	$92.80	$312.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.88 / $173.89 / $440.00	Professional	TC	$129.88	$173.89	$440.00