Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $89.11 / $218.56	Professional		$62.92	$89.11	$218.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $45.04 / $116.80	Professional	26	$30.81	$45.04	$116.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $65.04 / $136.47	Professional	TC	$35.27	$65.04	$136.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $61.43 / $109.27	Professional		$54.45	$61.43	$109.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $35.21 / $50.57	Professional	26	$16.30	$35.21	$50.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.06 / $74.06 / $74.06	Professional	TC	$74.06	$74.06	$74.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $171.35	Professional		$44.64	$44.64	$171.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $16.34 / $58.90	Professional	26	$16.34	$16.34	$58.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $29.66 / $112.45	Professional	TC	$29.66	$29.66	$112.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $74.12 / $137.26	Facility		$69.72	$74.12	$137.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.16 / $24.63 / $45.60	Facility	26	$23.16	$24.63	$45.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $46.55 / $49.50 / $91.66	Facility	TC	$46.55	$49.50	$91.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $55.10 / $189.29	Professional		$51.40	$55.10	$189.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $20.86 / $58.89	Professional	26	$17.42	$20.86	$58.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $34.24 / $133.38	Professional	TC	$30.50	$34.24	$133.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $115.71 / $184.03	Professional		$27.14	$115.71	$184.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $34.32 / $54.59	Professional	26	$9.71	$34.32	$54.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $81.39 / $129.44	Professional	TC	$17.42	$81.39	$129.44
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 $53.09 / $64.31 / $133.99	Professional		$53.09	$64.31	$133.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $24.51 / $62.34	Professional	26	$22.09	$24.51	$62.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.60 / $42.22 / $112.60	Professional	TC	$34.60	$42.22	$112.60