Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.06 / $109.06 / $117.79	Facility	26	$109.06	$109.06	$117.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $193.58 / $722.00	Professional		$165.50	$193.58	$722.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.84 / $107.83 / $162.55	Professional	26	$94.84	$107.83	$162.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.78 / $79.70 / $121.40	Professional	TC	$66.78	$79.70	$121.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $167.47 / $364.92	Professional		$155.75	$167.47	$364.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $216.96 / $297.81	Professional		$152.55	$216.96	$297.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.41 / $119.86 / $160.13	Professional	26	$88.41	$119.86	$160.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.38 / $91.69 / $128.09	Professional	TC	$66.38	$91.69	$128.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $235.29 / $334.20	Professional		$166.14	$235.29	$334.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.87 / $134.51 / $196.32	Professional	26	$92.87	$134.51	$196.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.13 / $97.17 / $137.88	Professional	TC	$70.13	$97.17	$137.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $212.04 / $291.32	Professional		$1.35	$212.04	$291.32
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.75 / $120.00 / $161.97	Professional	26	$0.75	$120.00	$161.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.60 / $90.29 / $124.05	Professional	TC	$0.60	$90.29	$124.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $167.47 / $276.57	Professional		$1.35	$167.47	$276.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.75 / $105.86 / $158.79	Professional	26	$0.75	$105.86	$158.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.60 / $78.51 / $117.77	Professional	TC	$0.60	$78.51	$117.77
United Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $233.07 / $309.82	Professional		$176.89	$233.07	$309.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.56 / $134.21 / $194.21	Professional	26	$98.56	$134.21	$194.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.86 / $103.83 / $156.78	Professional	TC	$72.86	$103.83	$156.78