Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.66 / $46.66 / $50.39	Facility	26	$46.66	$46.66	$50.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $139.52 / $632.92	Professional		$84.00	$139.52	$632.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $48.21 / $108.23	Professional	26	$42.08	$48.21	$108.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $49.60 / $80.92	Professional	TC	$40.17	$49.60	$80.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $90.42 / $197.03	Professional		$84.09	$90.42	$197.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.41 / $93.42 / $93.42	Professional	26	$41.41	$93.42	$93.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $101.75 / $148.40	Professional		$85.90	$101.75	$148.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $45.83 / $66.23	Professional	26	$38.53	$45.83	$66.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.30 / $54.05 / $81.88	Professional	TC	$43.30	$54.05	$81.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $119.84 / $177.65	Professional		$78.92	$119.84	$177.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $58.33 / $83.99	Professional	26	$38.72	$58.33	$83.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.60 / $59.72 / $95.10	Professional	TC	$36.60	$59.72	$95.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $110.12 / $158.16	Professional		$0.70	$110.12	$158.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $49.80 / $69.26	Professional	26	$0.40	$49.80	$69.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.30 / $60.31 / $83.89	Professional	TC	$0.30	$60.31	$83.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $100.11 / $150.16	Professional		$0.70	$100.11	$150.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $45.27 / $67.91	Professional	26	$0.40	$45.27	$67.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.30 / $54.83 / $82.25	Professional	TC	$0.30	$54.83	$82.25
United Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $115.50 / $181.51	Professional		$85.60	$115.50	$181.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $58.95 / $87.94	Professional	26	$42.54	$58.95	$87.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.71 / $57.60 / $90.72	Professional	TC	$41.71	$57.60	$90.72