Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.03 / $44.50 / $46.84	Facility	26	$39.03	$44.50	$46.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $84.83 / $286.00	Professional		$61.28	$84.83	$286.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.88 / $113.88 / $113.88	Professional	25	$113.88	$113.88	$113.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $39.81 / $183.00	Professional	26	$33.90	$39.81	$183.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $25.84 / $71.59	Professional	TC	$21.05	$25.84	$71.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $63.66 / $141.54	Professional		$63.66	$63.66	$141.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $64.73 / $120.26	Professional		$51.91	$64.73	$120.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $41.97 / $62.25	Professional	26	$31.55	$41.97	$62.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $21.93 / $63.20	Professional	TC	$17.62	$21.93	$63.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $76.34 / $131.49	Professional		$53.27	$76.34	$131.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $43.78 / $65.92	Professional	26	$33.75	$43.78	$65.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $30.33 / $70.98	Professional	TC	$19.17	$30.33	$70.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $78.31 / $130.79	Professional		$0.53	$78.31	$130.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.33 / $38.40 / $61.09	Professional	26	$0.33	$38.40	$61.09
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $41.74 / $69.70	Professional	TC	$0.20	$41.74	$69.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $74.89 / $117.48	Professional		$0.53	$74.89	$117.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.33 / $36.58 / $54.87	Professional	26	$0.33	$36.58	$54.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $41.74 / $62.61	Professional	TC	$0.20	$41.74	$62.61
United Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $83.23 / $138.04	Professional		$59.04	$83.23	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $48.85 / $77.01	Professional	26	$34.88	$48.85	$77.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $33.47 / $62.42	Professional	TC	$22.29	$33.47	$62.42