Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $191.27 / $191.27 / $206.57	Facility	26	$191.27	$191.27	$206.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.38 / $324.93 / $1,274.00	Professional		$271.38	$324.93	$1,274.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.11 / $191.27 / $287.54	Professional	26	$168.11	$191.27	$287.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.79 / $116.85 / $165.88	Professional	TC	$93.79	$116.85	$165.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $274.08 / $597.24	Professional		$254.90	$274.08	$597.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $384.59 / $384.59 / $384.59	Professional	26	$384.59	$384.59	$384.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $356.29 / $485.95	Professional		$245.04	$356.29	$485.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.21 / $212.90 / $284.45	Professional	26	$155.21	$212.90	$284.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.83 / $134.16 / $183.15	Professional	TC	$89.83	$134.16	$183.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.79 / $376.98 / $541.55	Professional		$272.79	$376.98	$541.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.01 / $239.08 / $344.28	Professional	26	$165.01	$239.08	$344.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.49 / $137.44 / $197.28	Professional	TC	$100.49	$137.44	$197.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $344.49 / $471.35	Professional		$2.20	$344.49	$471.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $215.05 / $286.11	Professional	26	$1.35	$215.05	$286.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.85 / $129.44 / $177.84	Professional	TC	$0.85	$129.44	$177.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $274.08 / $449.34	Professional		$2.20	$274.08	$449.34
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $187.00 / $280.50	Professional	26	$1.35	$187.00	$280.50
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.85 / $112.56 / $168.84	Professional	TC	$0.85	$112.56	$168.84
United Facility/Professional Professional Modifier Low / Median / High Price $275.75 / $378.40 / $566.04	Professional		$275.75	$378.40	$566.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $172.48 / $246.50 / $345.10	Professional	26	$172.48	$246.50	$345.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.10 / $139.62 / $215.07	Professional	TC	$104.10	$139.62	$215.07