Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.55 / $257.92 / $500.04	Professional		$195.55	$257.92	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $49.06 / $131.35	Professional	26	$26.27	$49.06	$131.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.06 / $193.00 / $696.04	Professional	TC	$171.06	$193.00	$696.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.54 / $19.54 / $42.67	Professional	26	$19.54	$19.54	$42.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $140.54 / $556.57	Professional		$140.54	$140.54	$556.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $18.43 / $73.94	Professional	26	$18.43	$18.43	$73.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $122.11 / $482.65	Professional	TC	$122.11	$122.11	$482.65
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 $102.13 / $166.14 / $461.04	Professional		$102.13	$166.14	$461.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $22.92 / $73.91	Professional	26	$21.77	$22.92	$73.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.34 / $144.37 / $394.07	Professional	TC	$80.34	$144.37	$394.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $279.99 / $445.32	Professional		$53.34	$279.99	$445.32
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $41.34 / $65.75	Professional	26	$11.45	$41.34	$65.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.89 / $238.67 / $379.59	Professional	TC	$41.89	$238.67	$379.59
United Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $208.96 / $557.22	Professional		$122.95	$208.96	$557.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $28.65 / $73.91	Professional	26	$27.09	$28.65	$73.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.09 / $181.24 / $483.31	Professional	TC	$91.09	$181.24	$483.31