Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.38 / $42.53 / $47.26	Facility	26	$39.38	$42.53	$47.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $232.99 / $945.01	Professional		$144.33	$232.99	$945.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.00 / $62.59 / $242.00	Professional	26	$39.00	$62.59	$242.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.68 / $162.12 / $293.55	Professional	TC	$99.68	$162.12	$293.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $122.12 / $216.28	Professional		$95.79	$122.12	$216.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $51.87 / $78.51	Professional	26	$28.82	$51.87	$78.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $164.39 / $241.08	Professional		$141.71	$164.39	$241.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $38.76 / $71.50	Professional	26	$34.72	$38.76	$71.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.99 / $125.63 / $171.87	Professional	TC	$106.99	$125.63	$171.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $228.98 / $326.36	Professional		$156.40	$228.98	$326.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $60.75 / $86.87	Professional	26	$38.68	$60.75	$86.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.78 / $171.14 / $242.30	Professional	TC	$116.78	$171.14	$242.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $190.26 / $265.81	Professional		$3.33	$190.26	$265.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.84 / $47.85 / $66.26	Professional	26	$0.84	$47.85	$66.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.12 / $138.94 / $188.42	Professional	TC	$2.12	$138.94	$188.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $143.68 / $215.52	Professional		$3.33	$143.68	$215.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.95 / $36.81 / $55.22	Professional	26	$0.95	$36.81	$55.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.39 / $106.88 / $160.32	Professional	TC	$2.39	$106.88	$160.32
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $232.00 / $352.19	Professional		$153.69	$232.00	$352.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $58.14 / $91.79	Professional	26	$37.61	$58.14	$91.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.83 / $172.74 / $258.17	Professional	TC	$115.83	$172.74	$258.17