Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $103.87 / $129.43	Professional		$88.61	$103.87	$129.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $76.08 / $94.70	Professional	26	$69.81	$76.08	$94.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $28.24 / $37.13	Professional	TC	$19.62	$28.24	$37.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $121.70 / $121.70	Professional		$121.70	$121.70	$121.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $108.86 / $150.60	Professional		$90.00	$108.86	$150.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $77.56 / $109.16	Professional	26	$64.81	$77.56	$109.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $28.14 / $45.59	Professional	TC	$18.54	$28.14	$45.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $96.11 / $143.27	Professional		$70.20	$96.11	$143.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.79 / $79.06 / $106.62	Professional	26	$63.79	$79.06	$106.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $19.88 / $40.18	Professional	TC	$14.51	$19.88	$40.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $113.84 / $165.58	Professional		$1.71	$113.84	$165.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.78 / $87.68 / $119.12	Professional	26	$0.78	$87.68	$119.12
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.93 / $31.93 / $50.80	Professional	TC	$0.93	$31.93	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $109.65 / $179.18	Professional		$93.25	$109.65	$179.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $82.46 / $140.12	Professional	26	$69.33	$82.46	$140.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $25.99 / $47.93	Professional	TC	$17.43	$25.99	$47.93