Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.63 / $51.11 / $54.76	Facility	26	$45.63	$51.11	$54.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $169.17 / $611.88	Professional		$93.21	$169.17	$611.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $59.28 / $237.80	Professional	26	$42.71	$59.28	$237.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.73 / $52.83 / $305.94	Professional	52	$44.73	$52.83	$305.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $91.62 / $151.75	Professional	TC	$48.69	$91.62	$151.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.55 / $56.55 / $56.55	Professional	26	$56.55	$56.55	$56.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $134.34 / $211.94	Professional		$85.96	$134.34	$211.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.64 / $61.38 / $85.95	Professional	26	$39.64	$61.38	$85.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.61 / $72.53 / $139.16	Professional	TC	$46.61	$72.53	$139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $169.79 / $278.63	Professional		$108.04	$169.79	$278.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.20 / $70.73 / $111.00	Professional	26	$49.20	$70.73	$111.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.27 / $103.28 / $179.10	Professional	TC	$56.27	$103.28	$179.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $133.82 / $201.63	Professional		$3.50	$133.82	$201.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.50 / $55.69 / $74.40	Professional	26	$1.50	$55.69	$74.40
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $75.92 / $129.76	Professional	TC	$2.00	$75.92	$129.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $92.91 / $154.41	Professional		$3.50	$92.91	$154.41
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.50 / $44.55 / $66.83	Professional	26	$1.50	$44.55	$66.83
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $58.40 / $87.60	Professional	TC	$2.00	$58.40	$87.60
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $176.64 / $260.06	Professional		$105.60	$176.64	$260.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $70.83 / $101.01	Professional	26	$43.71	$70.83	$101.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.64 / $111.60 / $169.49	Professional	TC	$64.64	$111.60	$169.49