Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.22 / $43.45 / $48.28	Facility	26	$40.22	$43.45	$48.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $273.08 / $446.26	Professional		$227.43	$273.08	$446.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $40.22 / $45.19	Professional	26	$34.34	$40.22	$45.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.57 / $236.99 / $319.39	Professional	TC	$192.57	$236.99	$319.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.33 / $243.33 / $243.33	Professional		$243.33	$243.33	$243.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $35.46	Professional	26	$35.46	$35.46	$35.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.63 / $261.30 / $357.42	Professional		$252.63	$261.30	$357.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $38.76 / $47.10	Professional	26	$36.29	$38.76	$47.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.52 / $222.54 / $310.32	Professional	TC	$216.52	$222.54	$310.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $330.23 / $473.83	Professional		$232.93	$330.23	$473.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $48.21 / $70.54	Professional	26	$33.56	$48.21	$70.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.37 / $280.05 / $401.41	Professional	TC	$199.37	$280.05	$401.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $298.52 / $435.35	Professional		$230.65	$298.52	$435.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $43.69 / $63.72	Professional	26	$34.47	$43.69	$63.72
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $157.88 / $244.21 / $358.53	Professional	TC	$157.88	$244.21	$358.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $248.77 / $373.16	Professional		$237.86	$248.77	$373.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $36.40 / $54.62	Professional	26	$36.40	$36.40	$54.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $205.94 / $212.36 / $318.54	Professional	TC	$205.94	$212.36	$318.54
United Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $331.31 / $512.03	Professional		$240.96	$331.31	$512.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $50.03 / $75.90	Professional	26	$36.29	$50.03	$75.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.38 / $282.91 / $437.23	Professional	TC	$210.38	$282.91	$437.23