Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.24 / $58.24 / $62.90	Facility	26	$58.24	$58.24	$62.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $375.49 / $707.97	Professional		$302.81	$375.49	$707.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $58.00 / $236.00	Professional	26	$51.54	$58.00	$236.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.26 / $304.10 / $458.49	Professional	TC	$239.26	$304.10	$458.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $375.46 / $375.46	Professional		$348.14	$375.46	$375.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.75 / $53.49 / $116.55	Professional	26	$49.75	$53.49	$116.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.92 / $377.54 / $564.73	Professional		$231.92	$377.54	$564.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.17 / $57.48 / $82.66	Professional	26	$50.17	$57.48	$82.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.75 / $317.11 / $482.06	Professional	TC	$181.75	$317.11	$482.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $433.33 / $669.31	Professional		$174.53	$433.33	$669.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.16 / $72.00 / $104.83	Professional	26	$47.16	$72.00	$104.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.00 / $359.58 / $570.30	Professional	TC	$125.00	$359.58	$570.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $475.70 / $653.57	Professional		$3.45	$475.70	$653.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $64.62 / $88.78	Professional	26	$0.56	$64.62	$88.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.89 / $411.09 / $564.79	Professional	TC	$2.89	$411.09	$564.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $375.46 / $620.48	Professional		$3.45	$375.46	$620.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $56.19 / $84.29	Professional	26	$0.56	$56.19	$84.29
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.89 / $357.47 / $536.21	Professional	TC	$2.89	$357.47	$536.21
United Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $378.82 / $648.90	Professional		$206.02	$378.82	$648.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $68.48 / $105.64	Professional	26	$48.89	$68.48	$105.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.97 / $327.36 / $571.54	Professional	TC	$159.97	$327.36	$571.54