Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $92.68 / $170.78	Professional		$81.15	$92.68	$170.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.20 / $70.16 / $615.60	Professional	26	$52.20	$70.16	$615.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.42 / $34.11 / $70.43	Professional	TC	$28.42	$34.11	$70.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $100.65 / $100.65	Professional		$100.65	$100.65	$100.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $29.06 / $180.63	Professional	26	$29.06	$29.06	$180.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $160.46	Professional		$39.89	$39.89	$160.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $26.64 / $104.52	Professional	26	$26.64	$26.64	$104.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.48 / $13.48 / $55.94	Professional	TC	$13.48	$13.48	$55.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $73.15 / $135.46	Facility		$68.81	$73.15	$135.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.05 / $43.64 / $80.81	Facility	26	$41.05	$43.64	$80.81
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.75 / $29.50 / $54.64	Facility	TC	$27.75	$29.50	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.02 / $168.25	Professional		$47.86	$52.02	$168.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.01 / $31.20 / $104.51	Professional	26	$30.01	$31.20	$104.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $20.82 / $68.63	Professional	TC	$17.86	$20.82	$68.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $101.94 / $162.13	Professional		$23.23	$101.94	$162.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $60.57 / $96.34	Professional	26	$14.07	$60.57	$96.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.17 / $41.37 / $65.80	Professional	TC	$9.17	$41.37	$65.80
United Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $223.74 / $223.74	Facility		$223.74	$223.74	$223.74
United Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $60.20 / $160.53	Professional		$55.55	$60.20	$160.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $39.20 / $104.51	Professional	26	$35.34	$39.20	$104.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $21.01 / $67.34	Professional	TC	$18.91	$21.01	$67.34