Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $91.52 / $235.96	Professional		$68.37	$91.52	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $25.29 / $60.54	Professional	26	$18.19	$25.29	$60.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $66.23 / $184.26	Professional	TC	$50.18	$66.23	$184.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.07 / $91.07 / $91.07	Professional	26	$91.07	$91.07	$91.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $186.34	Professional		$44.64	$44.64	$186.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $13.54 / $54.29	Professional	26	$13.54	$13.54	$54.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $31.10 / $132.05	Professional	TC	$31.10	$31.10	$132.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.33 / $22.68 / $41.99	Facility	26	$21.33	$22.68	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $58.67 / $220.28	Professional		$36.63	$58.67	$220.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $16.21 / $54.79	Professional	26	$12.11	$16.21	$54.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $42.45 / $165.49	Professional	TC	$24.52	$42.45	$165.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $135.72 / $215.86	Professional		$19.12	$135.72	$215.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $33.61 / $53.47	Professional	26	$6.35	$33.61	$53.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.77 / $102.10 / $162.38	Professional	TC	$12.77	$102.10	$162.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $70.06 / $186.51	Professional		$44.27	$70.06	$186.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $20.45 / $54.27	Professional	26	$15.05	$20.45	$54.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.22 / $49.59 / $132.24	Professional	TC	$29.22	$49.59	$132.24