Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $186.91 / $578.76	Professional		$69.34	$186.91	$578.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $26.25 / $54.30	Professional	26	$16.46	$26.25	$54.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.10 / $53.87 / $155.34	Professional	TC	$43.10	$53.87	$155.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $25.93 / $25.93	Professional	26	$25.93	$25.93	$25.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $150.58	Professional		$29.52	$29.52	$150.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $12.10 / $48.51	Professional	26	$12.10	$12.10	$48.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $17.48 / $93.04	Professional	TC	$17.48	$17.48	$93.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.27 / $20.48 / $37.93	Facility	26	$19.27	$20.48	$37.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $60.21 / $185.96	Professional		$35.85	$60.21	$185.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $14.65 / $48.50	Professional	26	$13.88	$14.65	$48.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $45.57 / $139.47	Professional	TC	$21.97	$45.57	$139.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $161.36 / $178.46	Professional		$112.20	$161.36	$178.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $41.28 / $45.66	Professional	26	$28.71	$41.28	$45.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $83.50 / $120.08 / $132.80	Professional	TC	$83.50	$120.08	$132.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $56.62 / $150.69	Professional		$43.39	$56.62	$150.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $18.20 / $48.51	Professional	26	$17.18	$18.20	$48.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $38.35 / $102.19	Professional	TC	$26.21	$38.35	$102.19