Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.59 / $58.59 / $63.27	Facility	26	$58.59	$58.59	$63.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $417.58 / $1,494.19	Professional		$338.67	$417.58	$1,494.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $58.59 / $248.34	Professional	26	$51.32	$58.59	$248.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.79 / $361.50 / $565.73	Professional	TC	$281.79	$361.50	$565.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $404.96 / $437.19 / $437.19	Professional		$404.96	$437.19	$437.19
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 $254.02 / $436.03 / $662.83	Professional		$254.02	$436.03	$662.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $57.48 / $96.79	Professional	26	$49.98	$57.48	$96.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.04 / $381.32 / $579.66	Professional	TC	$204.04	$381.32	$579.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $499.18 / $786.20	Professional		$178.15	$499.18	$786.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $72.36 / $105.46	Professional	26	$49.02	$72.36	$105.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.15 / $434.61 / $685.82	Professional	TC	$127.15	$434.61	$685.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $554.84 / $755.51	Professional		$3.94	$554.84	$755.51
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $65.00 / $88.80	Professional	26	$0.56	$65.00	$88.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $489.84 / $669.26	Professional	TC	$3.39	$489.84	$669.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $437.19 / $723.71	Professional		$3.94	$437.19	$723.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $56.52 / $84.78	Professional	26	$0.56	$56.52	$84.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $425.95 / $638.92	Professional	TC	$3.39	$425.95	$638.92
United Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $435.24 / $770.52	Professional		$215.46	$435.24	$770.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.36 / $68.48 / $103.96	Professional	26	$48.36	$68.48	$103.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.23 / $391.46 / $666.55	Professional	TC	$166.23	$391.46	$666.55