Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.11 / $81.06 / $85.33	Facility	26	$71.11	$81.06	$85.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $222.97 / $1,016.00	Professional		$184.91	$222.97	$1,016.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $80.40 / $374.97	Professional	26	$68.20	$80.40	$374.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.55 / $142.30 / $216.62	Professional	TC	$106.55	$142.30	$216.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $123.11 / $123.11 / $123.11	Professional	26	$123.11	$123.11	$123.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $249.34 / $387.78	Professional		$179.80	$249.34	$387.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.37 / $93.71 / $141.01	Professional	26	$63.37	$93.71	$141.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.24 / $155.63 / $239.77	Professional	TC	$113.24	$155.63	$239.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $242.47 / $353.27	Professional		$156.35	$242.47	$353.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.58 / $91.76 / $129.25	Professional	26	$59.58	$91.76	$129.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.04 / $151.46 / $232.48	Professional	TC	$84.04	$151.46	$232.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $222.14 / $323.95	Professional		$2.75	$222.14	$323.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.20 / $78.33 / $117.62	Professional	26	$1.20	$78.33	$117.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.55 / $141.49 / $199.07	Professional	TC	$1.55	$141.49	$199.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $176.63 / $277.68	Professional		$2.75	$176.63	$277.68
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.20 / $67.20 / $100.82	Professional	26	$1.20	$67.20	$100.82
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.55 / $117.91 / $176.87	Professional	TC	$1.55	$117.91	$176.87
United Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $236.04 / $364.48	Professional		$166.68	$236.04	$364.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.66 / $91.41 / $137.36	Professional	26	$66.66	$91.41	$137.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.51 / $152.90 / $230.46	Professional	TC	$112.51	$152.90	$230.46