Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.91 / $31.65 / $39.68	Facility	26	$26.91	$31.65	$39.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $107.86 / $232.80	Professional		$86.29	$107.86	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $26.91 / $80.75	Professional	26	$23.42	$26.91	$80.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $73.83 / $181.74	Professional	TC	$62.86	$73.83	$181.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $70.78 / $70.78	Professional		$70.78	$70.78	$70.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $163.31	Professional		$54.00	$54.00	$163.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $14.69 / $41.72	Professional	26	$14.69	$14.69	$41.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.31 / $39.31 / $121.58	Professional	TC	$39.31	$39.31	$121.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.93 / $24.38 / $45.16	Facility	26	$22.93	$24.38	$45.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $70.26 / $217.51	Professional		$48.51	$70.26	$217.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $17.25 / $54.24	Professional	26	$13.19	$17.25	$54.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $53.01 / $163.27	Professional	TC	$35.32	$53.01	$163.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $126.92 / $203.07	Professional		$25.32	$126.92	$203.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $33.26 / $52.91	Professional	26	$6.92	$33.26	$52.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $99.99 / $159.03	Professional	TC	$18.41	$99.99	$159.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $126.92 / $190.38	Professional		$25.32	$126.92	$190.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $31.68 / $47.52	Professional	26	$6.92	$31.68	$47.52
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $95.23 / $142.85	Professional	TC	$18.41	$95.23	$142.85
United Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $84.35 / $164.95	Professional		$61.85	$84.35	$164.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $21.65 / $45.11	Professional	26	$15.52	$21.65	$45.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.57 / $62.60 / $118.85	Professional	TC	$44.57	$62.60	$118.85