Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $96.48 / $201.95	Professional		$56.63	$96.48	$201.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $28.87 / $109.99	Professional	26	$20.09	$28.87	$109.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.23 / $83.94 / $150.60	Professional	TC	$52.23	$83.94	$150.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $67.51 / $204.00	Professional		$54.46	$67.51	$204.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.43 / $15.38 / $77.48	Professional	26	$12.43	$15.38	$77.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.13 / $52.13 / $80.84	Professional	TC	$52.13	$52.13	$80.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $39.74 / $171.33	Professional		$39.74	$39.74	$171.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.23 / $44.47	Professional	26	$11.23	$11.23	$44.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $28.51 / $126.86	Professional	TC	$28.51	$28.51	$126.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $79.00 / $146.30	Facility		$74.30	$79.00	$146.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $18.77 / $34.76	Facility	26	$17.64	$18.77	$34.76
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $56.65 / $60.23 / $111.53	Facility	TC	$56.65	$60.23	$111.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $57.44 / $188.18	Professional		$49.04	$57.44	$188.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $13.26 / $44.47	Professional	26	$13.10	$13.26	$44.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $44.18 / $145.56	Professional	TC	$35.86	$44.18	$145.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $114.95 / $182.83	Professional		$23.03	$114.95	$182.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $26.25 / $41.75	Professional	26	$6.09	$26.25	$41.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $88.70 / $141.08	Professional	TC	$16.94	$88.70	$141.08
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 $54.80 / $64.31 / $133.99	Professional		$54.80	$64.31	$133.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $16.68 / $44.46	Professional	26	$15.52	$16.68	$44.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.19 / $47.67 / $127.04	Professional	TC	$40.19	$47.67	$127.04