Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.04 / $161.04 / $173.93	Facility	26	$161.04	$161.04	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.26 / $273.66 / $1,055.31	Professional		$234.26	$273.66	$1,055.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.72 / $160.46 / $241.63	Professional	26	$141.72	$160.46	$241.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.69 / $104.53 / $152.46	Professional	TC	$84.69	$104.53	$152.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $234.08 / $510.06	Professional		$217.69	$234.08	$510.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $143.52 / $324.19 / $324.19	Professional	26	$143.52	$324.19	$324.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $307.14 / $419.88	Professional		$218.29	$307.14	$419.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.82 / $179.37 / $239.63	Professional	26	$130.82	$179.37	$239.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.79 / $119.96 / $165.18	Professional	TC	$84.79	$119.96	$165.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.42 / $326.64 / $467.85	Professional		$235.42	$326.64	$467.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.13 / $201.30 / $289.88	Professional	26	$139.13	$201.30	$289.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.65 / $123.59 / $177.97	Professional	TC	$90.65	$123.59	$177.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $292.73 / $402.19	Professional		$1.90	$292.73	$402.19
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.14 / $181.37 / $241.30	Professional	26	$1.14	$181.37	$241.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.75 / $112.12 / $153.02	Professional	TC	$0.75	$112.12	$153.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $234.08 / $381.83	Professional		$1.90	$234.08	$381.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.14 / $157.71 / $236.57	Professional	26	$1.14	$157.71	$236.57
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.75 / $96.85 / $145.28	Professional	TC	$0.75	$96.85	$145.28
United Facility/Professional Professional Modifier Low / Median / High Price $237.76 / $319.77 / $490.39	Professional		$237.76	$319.77	$490.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $143.72 / $194.37 / $300.89	Professional	26	$143.72	$194.37	$300.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.21 / $132.29 / $192.20	Professional	TC	$94.21	$132.29	$192.20