Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $73.44 / $193.82	Professional		$59.78	$73.44	$193.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $51.08 / $231.20	Professional	26	$19.98	$51.08	$231.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.53 / $56.98 / $215.97	Professional	TC	$36.53	$56.98	$215.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $52.83 / $93.59	Professional		$46.72	$52.83	$93.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $13.38 / $28.52	Professional	26	$13.24	$13.38	$28.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $65.06 / $65.06 / $65.06	Professional	TC	$65.06	$65.06	$65.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $150.58	Professional		$37.86	$37.86	$150.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $11.95 / $47.35	Professional	26	$11.95	$11.95	$47.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $25.92 / $103.21	Professional	TC	$25.92	$25.92	$103.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $65.59 / $121.47	Facility		$61.70	$65.59	$121.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.80 / $19.98 / $37.03	Facility	26	$18.80	$19.98	$37.03
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $42.89 / $45.60 / $84.43	Facility	TC	$42.89	$45.60	$84.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $44.92 / $162.72	Professional		$33.68	$44.92	$162.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.12 / $47.35	Professional	26	$10.60	$14.12	$47.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $30.80 / $117.33	Professional	TC	$23.08	$30.80	$117.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $98.92 / $157.33	Professional		$17.57	$98.92	$157.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $28.00 / $44.54	Professional	26	$5.55	$28.00	$44.54
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $70.92 / $112.79	Professional	TC	$12.02	$70.92	$112.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $56.59 / $150.69	Professional		$40.63	$56.59	$150.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $17.76 / $47.34	Professional	26	$13.11	$17.76	$47.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $38.76 / $103.36	Professional	TC	$27.52	$38.76	$103.36