Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.60 / $29.18 / $30.72	Facility	26	$25.60	$29.18	$30.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $119.52 / $533.55	Professional		$102.20	$119.52	$533.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.83 / $126.00	Professional	26	$22.91	$28.83	$126.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $82.80 / $138.65	Professional	TC	$67.61	$82.80	$138.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.43 / $44.43 / $44.43	Professional	26	$44.43	$44.43	$44.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $136.15 / $199.13	Professional		$97.88	$136.15	$199.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $36.11 / $50.80	Professional	26	$24.30	$36.11	$50.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.80 / $100.03 / $147.60	Professional	TC	$74.80	$100.03	$147.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $132.91 / $188.50	Professional		$89.65	$132.91	$188.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $34.27 / $47.67	Professional	26	$24.20	$34.27	$47.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.28 / $99.21 / $143.04	Professional	TC	$66.28	$99.21	$143.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $121.27 / $176.86	Professional		$1.65	$121.27	$176.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $28.30 / $43.07	Professional	26	$0.65	$28.30	$43.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.00 / $87.97 / $129.07	Professional	TC	$1.00	$87.97	$129.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $94.25 / $151.59	Professional		$1.65	$94.25	$151.59
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $24.61 / $36.92	Professional	26	$0.65	$24.61	$36.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.00 / $76.45 / $114.68	Professional	TC	$1.00	$76.45	$114.68
United Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $130.24 / $189.72	Professional		$95.57	$130.24	$189.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.09 / $32.86 / $49.01	Professional	26	$24.09	$32.86	$49.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.04 / $100.96 / $145.16	Professional	TC	$71.04	$100.96	$145.16