Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.98 / $45.98 / $49.65	Facility	26	$45.98	$45.98	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $140.97 / $184.58	Professional		$113.86	$140.97	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $45.91 / $64.63	Professional	26	$40.51	$45.91	$64.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.87 / $93.74 / $128.37	Professional	TC	$72.87	$93.74	$128.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $113.93 / $113.93	Professional		$113.93	$113.93	$113.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $129.51 / $186.75	Professional		$106.60	$129.51	$186.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $46.44 / $66.70	Professional	26	$37.24	$46.44	$66.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $83.52 / $121.51	Professional	TC	$67.56	$83.52	$121.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $158.53 / $234.97	Professional		$112.38	$158.53	$234.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $58.39 / $82.76	Professional	26	$39.86	$58.39	$82.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.73 / $98.05 / $152.21	Professional	TC	$65.73	$98.05	$152.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $159.55 / $264.00	Professional		$1.65	$159.55	$264.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.47 / $50.08 / $68.81	Professional	26	$0.47	$50.08	$68.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.19 / $102.93 / $206.10	Professional	TC	$1.19	$102.93	$206.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $113.93 / $184.10	Professional		$1.65	$113.93	$184.10
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.47 / $43.55 / $65.33	Professional	26	$0.47	$43.55	$65.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.19 / $79.18 / $118.77	Professional	TC	$1.19	$79.18	$118.77
United Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $154.63 / $229.34	Professional		$105.51	$154.63	$229.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.20 / $53.88 / $77.72	Professional	26	$40.20	$53.88	$77.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.41 / $97.86 / $151.97	Professional	TC	$66.41	$97.86	$151.97