Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.79 / $65.87 / $69.34	Facility	26	$57.79	$65.87	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $103.06 / $372.00	Professional		$81.51	$103.06	$372.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $63.15 / $244.93	Professional	26	$51.87	$63.15	$244.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $31.15 / $72.16	Professional	TC	$25.10	$31.15	$72.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Professional		$79.23	$79.23	$79.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $97.62 / $150.19	Professional		$85.32	$97.62	$150.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.90 / $61.17 / $87.31	Professional	26	$46.90	$61.17	$87.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $37.61 / $63.68	Professional	TC	$24.15	$37.61	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $96.61 / $161.10	Professional		$71.48	$96.61	$161.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.70 / $64.31 / $97.05	Professional	26	$49.70	$64.31	$97.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $33.21 / $71.53	Professional	TC	$21.87	$33.21	$71.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $96.31 / $152.16	Professional		$0.69	$96.31	$152.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $56.95 / $90.62	Professional	26	$0.49	$56.95	$90.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $42.07 / $70.26	Professional	TC	$0.20	$42.07	$70.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $93.23 / $144.47	Professional		$0.69	$93.23	$144.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.49 / $54.24 / $81.36	Professional	26	$0.49	$54.24	$81.36
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $42.07 / $63.11	Professional	TC	$0.20	$42.07	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $108.04 / $174.52	Professional		$80.40	$108.04	$174.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $71.38 / $116.20	Professional	26	$52.17	$71.38	$116.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $37.45 / $67.42	Professional	TC	$26.84	$37.45	$67.42