Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $79.34 / $140.25	Professional		$48.37	$79.34	$140.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $20.27 / $66.98	Professional	26	$10.00	$20.27	$66.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.66 / $75.42 / $129.96	Professional	TC	$45.66	$75.42	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $78.31 / $78.31	Professional		$49.74	$78.31	$78.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $12.11 / $34.29	Professional	26	$5.64	$12.11	$34.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.20 / $66.20 / $66.20	Professional	TC	$66.20	$66.20	$66.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $123.44	Professional		$28.80	$28.80	$123.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.04 / $5.04 / $20.21	Professional	26	$5.04	$5.04	$20.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $23.76 / $103.21	Professional	TC	$23.76	$23.76	$103.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $57.05 / $105.66	Facility		$53.66	$57.05	$105.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.02 / $8.53 / $15.81	Facility	26	$8.02	$8.53	$15.81
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $45.63 / $48.52 / $89.86	Facility	TC	$45.63	$48.52	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $41.32 / $137.81	Professional		$34.57	$41.32	$137.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $6.14 / $20.21	Professional	26	$5.83	$6.14	$20.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $35.19 / $119.00	Professional	TC	$28.66	$35.19	$119.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $84.83 / $134.91	Professional		$16.04	$84.83	$134.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $11.87 / $18.87	Professional	26	$2.75	$11.87	$18.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $72.95 / $116.05	Professional	TC	$13.29	$72.95	$116.05
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $46.34 / $123.57	Professional		$39.40	$46.34	$123.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.63 / $32.21	Professional	26	$6.94	$7.63	$32.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $38.76 / $103.36	Professional	TC	$32.47	$38.76	$103.36