Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $124.35 / $244.64	Professional		$91.31	$124.35	$244.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $37.99 / $59.50	Professional	26	$20.39	$37.99	$59.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.27 / $70.91 / $190.10	Professional	TC	$54.27	$70.91	$190.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.17 / $32.17 / $32.17	Professional	26	$32.17	$32.17	$32.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $41.39 / $194.56	Professional		$41.39	$41.39	$194.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $16.48 / $60.07	Professional	26	$16.48	$16.48	$60.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $24.92 / $121.57	Professional	TC	$24.92	$24.92	$121.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.85 / $25.36 / $46.96	Facility	26	$23.85	$25.36	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $78.05 / $243.53	Professional		$53.95	$78.05	$243.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $21.11 / $60.06	Professional	26	$18.12	$21.11	$60.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $59.93 / $185.96	Professional	TC	$32.97	$59.93	$185.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $143.72 / $228.61	Professional		$25.64	$143.72	$228.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $35.02 / $55.69	Professional	26	$9.59	$35.02	$55.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $108.71 / $172.90	Professional	TC	$16.05	$108.71	$172.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $77.09 / $205.57	Professional		$56.29	$77.09	$205.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $25.79 / $60.05	Professional	26	$22.52	$25.79	$60.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $54.57 / $145.52	Professional	TC	$33.43	$54.57	$145.52