Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $144.68 / $375.94	Professional		$103.56	$144.68	$375.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.89 / $37.06 / $86.20	Professional	26	$29.89	$37.06	$86.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.64 / $83.35 / $296.42	Professional	TC	$70.64	$83.35	$296.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $103.66 / $122.17	Professional		$94.95	$103.66	$122.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $18.09 / $34.53	Professional	26	$18.09	$18.09	$34.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $280.33	Professional		$71.42	$71.42	$280.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $16.42 / $64.09	Professional	26	$16.42	$16.42	$64.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.01 / $55.01 / $216.24	Professional	TC	$55.01	$55.01	$216.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $124.60 / $230.74	Facility		$117.19	$124.60	$230.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.23 / $26.82 / $49.67	Facility	26	$25.23	$26.82	$49.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $86.70 / $291.12	Professional		$58.18	$86.70	$291.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $20.39 / $64.09	Professional	26	$19.16	$20.39	$64.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.74 / $67.54 / $229.13	Professional	TC	$38.74	$67.54	$229.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $182.06 / $289.56	Professional		$30.39	$182.06	$289.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $37.83 / $60.17	Professional	26	$10.19	$37.83	$60.17
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $144.22 / $229.39	Professional	TC	$20.19	$144.22	$229.39
United Facility/Professional Facility Modifier Low / Median / High Price $436.89 / $436.89 / $436.89	Facility		$436.89	$436.89	$436.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $105.24 / $280.64	Professional		$66.78	$105.24	$280.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $24.13 / $64.09	Professional	26	$22.87	$24.13	$64.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.21 / $81.20 / $216.54	Professional	TC	$46.21	$81.20	$216.54