Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.92 / $26.91 / $29.90	Facility	26	$24.92	$26.91	$29.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $128.35 / $590.00	Professional		$110.97	$128.35	$590.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $21.69 / $116.25	Professional	26	$14.49	$21.69	$116.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.38 / $105.45 / $187.00	Professional	TC	$91.38	$105.45	$187.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $90.62 / $98.26	Professional		$90.62	$90.62	$98.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $17.86 / $47.48	Professional	26	$17.86	$17.86	$47.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $129.44 / $161.08	Professional		$111.38	$129.44	$161.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $22.76 / $24.22	Professional	26	$15.35	$22.76	$24.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.94 / $105.21 / $140.01	Professional	TC	$93.94	$105.21	$140.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $175.74 / $249.89	Professional		$118.59	$175.74	$249.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $24.00 / $42.50	Professional	26	$14.98	$24.00	$42.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.89 / $149.74 / $221.36	Professional	TC	$96.89	$149.74	$221.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $144.68 / $211.09	Professional		$2.79	$144.68	$211.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $22.44 / $37.89	Professional	26	$0.32	$22.44	$37.89
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.16 / $112.91 / $165.76	Professional	TC	$2.16	$112.91	$165.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $118.09 / $180.93	Professional		$2.79	$118.09	$180.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $22.44 / $33.65	Professional	26	$0.36	$22.44	$33.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.43 / $98.18 / $147.27	Professional	TC	$2.43	$98.18	$147.27
United Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $166.64 / $254.81	Professional		$120.12	$166.64	$254.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $24.63 / $46.73	Professional	26	$15.44	$24.63	$46.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.01 / $150.46 / $235.22	Professional	TC	$98.01	$150.46	$235.22