Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $81.73 / $88.28	Facility	26	$81.73	$81.73	$88.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $151.37 / $558.00	Professional		$127.39	$151.37	$558.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.22 / $80.69 / $122.11	Professional	26	$71.22	$80.69	$122.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.18 / $62.30 / $95.34	Professional	TC	$52.18	$62.30	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $128.11 / $169.87	Professional		$119.14	$128.11	$169.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $72.27 / $72.27	Professional	26	$72.27	$72.27	$72.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $164.36 / $226.28	Professional		$119.42	$164.36	$226.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.87 / $89.60 / $119.73	Professional	26	$66.87	$89.60	$119.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.63 / $70.87 / $100.85	Professional	TC	$51.63	$70.87	$100.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $179.26 / $255.74	Professional		$126.23	$179.26	$255.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.41 / $100.88 / $147.13	Professional	26	$69.41	$100.88	$147.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.79 / $76.31 / $108.61	Professional	TC	$54.79	$76.31	$108.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $162.90 / $223.81	Professional		$1.00	$162.90	$223.81
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $88.00 / $122.19	Professional	26	$0.55	$88.00	$122.19
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $71.06 / $97.64	Professional	TC	$0.45	$71.06	$97.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $128.11 / $212.48	Professional		$1.00	$128.11	$212.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $79.86 / $119.79	Professional	26	$0.55	$79.86	$119.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $61.80 / $92.70	Professional	TC	$0.45	$61.80	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $166.54 / $259.56	Professional		$116.42	$166.54	$259.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.59 / $100.32 / $152.44	Professional	26	$73.59	$100.32	$152.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.93 / $77.40 / $121.93	Professional	TC	$56.93	$77.40	$121.93