Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $140.94 / $216.17	Professional		$71.16	$140.94	$216.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.47 / $54.94 / $133.62	Professional	26	$27.47	$54.94	$133.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.25 / $90.48 / $163.40	Professional	TC	$48.25	$90.48	$163.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Professional		$113.69	$113.69	$113.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $20.32 / $44.03	Professional	26	$20.32	$20.32	$44.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $60.59 / $206.56	Professional		$60.59	$60.59	$206.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $22.33 / $74.51	Professional	26	$21.37	$22.33	$74.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.46 / $39.46 / $132.05	Professional	TC	$39.46	$39.46	$132.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.90 / $30.73 / $56.90	Facility	26	$28.90	$30.73	$56.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.11 / $194.82	Professional		$61.28	$79.11	$194.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $28.48 / $74.48	Professional	26	$21.94	$28.48	$74.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.34 / $50.63 / $125.64	Professional	TC	$39.34	$50.63	$125.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $120.61 / $191.83	Professional		$36.79	$120.61	$191.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $42.39 / $67.42	Professional	26	$13.14	$42.39	$67.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $78.23 / $124.42	Professional	TC	$23.66	$78.23	$124.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $90.88 / $206.72	Professional		$77.52	$90.88	$206.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $36.53 / $74.50	Professional	26	$27.94	$36.53	$74.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $57.39 / $132.22	Professional	TC	$49.58	$57.39	$132.22