Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.93 / $88.93 / $96.04	Facility	26	$88.93	$88.93	$96.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $416.19 / $594.63	Professional		$365.98	$416.19	$594.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $90.76 / $369.00	Professional	26	$79.09	$90.76	$369.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $333.19 / $496.50	Professional	TC	$284.67	$333.19	$496.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.89 / $80.89 / $109.37	Professional	26	$80.89	$80.89	$109.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $423.48 / $633.45	Professional		$302.26	$423.48	$633.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.50 / $86.74 / $146.63	Professional	26	$76.50	$86.74	$146.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.25 / $333.82 / $507.46	Professional	TC	$222.25	$333.82	$507.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $483.06 / $795.64	Professional		$245.12	$483.06	$795.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $111.16 / $160.07	Professional	26	$74.81	$111.16	$160.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.09 / $388.44 / $635.62	Professional	TC	$167.09	$388.44	$635.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $551.67 / $757.96	Professional		$3.61	$551.67	$757.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $100.84 / $137.51	Professional	26	$0.56	$100.84	$137.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.06 / $456.67 / $619.20	Professional	TC	$3.06	$456.67	$619.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $429.38 / $719.58	Professional		$3.61	$429.38	$719.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $87.82 / $131.72	Professional	26	$0.56	$87.82	$131.72
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.06 / $391.90 / $587.85	Professional	TC	$3.06	$391.90	$587.85
United Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $461.99 / $732.14	Professional		$268.16	$461.99	$732.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.08 / $107.07 / $158.40	Professional	26	$76.08	$107.07	$158.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.81 / $358.84 / $593.86	Professional	TC	$192.81	$358.84	$593.86