Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.34 / $43.56 / $48.41	Facility	26	$40.34	$43.56	$48.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $206.24 / $903.00	Professional		$180.04	$206.24	$903.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $34.72 / $119.93	Professional	26	$21.46	$34.72	$119.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.59 / $165.90 / $299.61	Professional	TC	$144.59	$165.90	$299.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $146.26 / $146.26	Professional		$146.26	$146.26	$146.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $29.44 / $29.44	Professional	26	$29.44	$29.44	$29.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $204.54 / $255.02	Professional		$174.67	$204.54	$255.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $34.90 / $39.10	Professional	26	$23.22	$34.90	$39.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.16 / $165.43 / $223.15	Professional	TC	$149.16	$165.43	$223.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $274.33 / $380.58	Professional		$185.37	$274.33	$380.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $37.34 / $69.95	Professional	26	$22.28	$37.34	$69.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.63 / $227.63 / $338.54	Professional	TC	$154.63	$227.63	$338.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $224.32 / $347.69	Professional		$3.96	$224.32	$347.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.64 / $36.69 / $61.94	Professional	26	$0.64	$36.69	$61.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $186.29 / $273.49	Professional	TC	$2.88	$186.29	$273.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $190.29 / $298.02	Professional		$3.96	$190.29	$298.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $36.69 / $55.04	Professional	26	$0.72	$36.69	$55.04
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $161.99 / $242.99	Professional	TC	$3.24	$161.99	$242.99
United Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $255.85 / $401.44	Professional		$172.03	$255.85	$401.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $41.05 / $76.11	Professional	26	$23.49	$41.05	$76.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.63 / $234.50 / $353.60	Professional	TC	$155.63	$234.50	$353.60