Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $121.56 / $215.94	Professional		$71.48	$121.56	$215.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.60 / $48.08 / $128.07	Professional	26	$32.60	$48.08	$128.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.21 / $73.48 / $137.05	Professional	TC	$50.21	$73.48	$137.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $64.88 / $116.32	Professional		$57.69	$64.88	$116.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $23.97 / $156.94	Professional	26	$19.38	$23.97	$156.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $48.13 / $74.38	Professional	TC	$48.13	$48.13	$74.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $54.58 / $203.67	Professional		$54.58	$54.58	$203.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $20.42 / $70.45	Professional	26	$20.35	$20.42	$70.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $35.86 / $133.19	Professional	TC	$35.86	$35.86	$133.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $87.29 / $161.65	Facility		$82.10	$87.29	$161.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.75 / $29.50 / $54.64	Facility	26	$27.75	$29.50	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $62.77 / $200.35	Professional		$60.07	$62.77	$200.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $26.75 / $70.45	Professional	26	$20.90	$26.75	$70.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.76 / $40.54 / $133.94	Professional	TC	$36.76	$40.54	$133.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $126.59 / $201.34	Professional		$29.85	$126.59	$201.34
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $40.98 / $65.18	Professional	26	$12.02	$40.98	$65.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $85.60 / $136.13	Professional	TC	$17.82	$85.60	$136.13
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $78.02 / $203.84	Professional		$72.29	$78.02	$203.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $32.89 / $77.22	Professional	26	$26.42	$32.89	$77.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.65 / $50.05 / $133.38	Professional	TC	$41.65	$50.05	$133.38