Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $159.38 / $267.56	Professional		$80.58	$159.38	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.32 / $44.26 / $77.42	Professional	26	$23.32	$44.26	$77.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.26 / $111.71 / $203.38	Professional	TC	$57.26	$111.71	$203.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $177.58 / $177.58 / $177.58	Professional	26	$177.58	$177.58	$177.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $88.50 / $214.04	Professional		$75.30	$88.50	$214.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.16 / $24.51 / $69.31	Professional	26	$24.16	$24.51	$69.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.61 / $63.99 / $147.38	Professional	TC	$54.61	$63.99	$147.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.29 / $29.01 / $53.73	Facility	26	$27.29	$29.01	$53.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $115.80 / $251.27	Professional		$69.30	$115.80	$251.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.73 / $31.99 / $69.29	Professional	26	$20.73	$31.99	$69.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.57 / $84.66 / $183.20	Professional	TC	$48.57	$84.66	$183.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $153.21 / $243.67	Professional		$54.68	$153.21	$243.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $42.04 / $66.87	Professional	26	$14.09	$42.04	$66.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.59 / $111.16 / $176.80	Professional	TC	$40.59	$111.16	$176.80
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $132.74 / $214.22	Professional		$80.33	$132.74	$214.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $39.11 / $78.81	Professional	26	$25.99	$39.11	$78.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $90.58 / $144.91	Professional	TC	$54.34	$90.58	$144.91