Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.60 / $274.32 / $1,153.07	Professional		$226.60	$274.32	$1,153.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $65.59 / $147.05	Professional	26	$38.84	$65.59	$147.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.60 / $206.26 / $613.94	Professional	TC	$156.60	$206.26	$613.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.25 / $372.25 / $372.25	Professional		$372.25	$372.25	$372.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.81 / $65.81 / $65.81	Professional	26	$65.81	$65.81	$65.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $167.04 / $658.11	Professional		$167.04	$167.04	$658.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $26.78 / $108.01	Professional	26	$26.78	$26.78	$108.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.26 / $140.26 / $550.11	Professional	TC	$140.26	$140.26	$550.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.43 / $45.11 / $83.53	Facility	26	$42.43	$45.11	$83.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $206.27 / $655.86	Professional		$106.35	$206.27	$655.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $33.26 / $107.98	Professional	26	$31.60	$33.26	$107.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.75 / $174.19 / $552.36	Professional	TC	$74.75	$174.19	$552.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $403.79 / $642.22	Professional		$55.59	$403.79	$642.22
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.61 / $63.79 / $101.45	Professional	26	$16.61	$63.79	$101.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $340.00 / $540.76	Professional	TC	$38.97	$340.00	$540.76
United Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $247.07 / $658.85	Professional		$128.53	$247.07	$658.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $41.62 / $107.99	Professional	26	$39.34	$41.62	$107.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.19 / $206.57 / $550.86	Professional	TC	$89.19	$206.57	$550.86