Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.56 / $40.56 / $48.67	Facility	26	$40.56	$40.56	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $216.74 / $990.00	Professional		$172.14	$216.74	$990.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $39.32 / $176.25	Professional	26	$28.30	$39.32	$176.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.05 / $162.49 / $849.24	Professional	TC	$143.05	$162.49	$849.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $145.07 / $208.53	Professional		$139.16	$145.07	$208.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $53.18 / $78.29	Professional	26	$28.74	$53.18	$78.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $199.35 / $265.06	Professional		$180.64	$199.35	$265.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $39.45 / $41.36	Professional	26	$33.27	$39.45	$41.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.52 / $159.88 / $223.15	Professional	TC	$145.52	$159.88	$223.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $267.77 / $380.32	Professional		$182.05	$267.77	$380.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $41.39 / $70.05	Professional	26	$28.15	$41.39	$70.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.57 / $222.17 / $328.32	Professional	TC	$146.57	$222.17	$328.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $217.34 / $330.73	Professional		$3.78	$217.34	$330.73
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.80 / $40.03 / $62.52	Professional	26	$0.80	$40.03	$62.52
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.56 / $174.75 / $256.55	Professional	TC	$2.56	$174.75	$256.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $181.33 / $283.49	Professional		$3.78	$181.33	$283.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $37.03 / $55.55	Professional	26	$0.90	$37.03	$55.55
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $151.96 / $227.94	Professional	TC	$2.88	$151.96	$227.94
United Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $265.08 / $406.19	Professional		$186.12	$265.08	$406.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.19 / $40.89 / $74.89	Professional	26	$29.19	$40.89	$74.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.46 / $227.39 / $352.44	Professional	TC	$152.46	$227.39	$352.44