Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $91.65 / $153.16	Professional		$54.35	$91.65	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.40 / $61.33 / $114.68	Professional	26	$48.40	$61.33	$114.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $36.35 / $55.91	Professional	TC	$19.39	$36.35	$55.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.90 / $28.90 / $28.90	Professional	26	$28.90	$28.90	$28.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $38.79 / $147.19	Professional		$38.79	$38.79	$147.19
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 $14.84 / $14.84 / $42.68	Professional	TC	$14.84	$14.84	$42.68
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 Professional Modifier Low / Median / High Price $46.15 / $50.28 / $151.65	Professional		$46.15	$50.28	$151.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $31.02 / $104.51	Professional	26	$30.23	$31.02	$104.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.95 / $19.66 / $52.58	Professional	TC	$15.95	$19.66	$52.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $92.46 / $147.06	Professional		$24.56	$92.46	$147.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.35 / $60.23 / $95.79	Professional	26	$14.35	$60.23	$95.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.22 / $32.24 / $51.27	Professional	TC	$10.22	$32.24	$51.27
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $62.76 / $147.25	Professional		$55.22	$62.76	$147.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $39.53 / $104.51	Professional	26	$35.95	$39.53	$104.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $22.26 / $42.74	Professional	TC	$16.03	$22.26	$42.74