Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $67.44 / $72.83	Facility		$67.44	$67.44	$72.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $18.87 / $20.38	Facility	26	$18.87	$18.87	$20.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $89.62 / $153.12	Professional		$62.37	$89.62	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $18.55 / $28.45	Professional	26	$16.57	$18.55	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.33 / $65.01 / $137.21	Professional	TC	$44.33	$65.01	$137.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $63.95 / $63.95	Professional		$63.95	$63.95	$63.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $87.27 / $124.29	Professional		$60.73	$87.27	$124.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $18.57 / $31.29	Professional	26	$16.32	$18.57	$31.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.11 / $63.50 / $101.49	Professional	TC	$43.11	$63.50	$101.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $98.59 / $169.71	Professional		$47.29	$98.59	$169.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.59 / $33.96	Professional	26	$16.60	$23.59	$33.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.96 / $73.56 / $139.36	Professional	TC	$46.96	$73.56	$139.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $88.08 / $173.29	Professional		$1.52	$88.08	$173.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.19 / $20.69 / $28.42	Professional	26	$0.19	$20.69	$28.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.33 / $64.69 / $147.10	Professional	TC	$1.33	$64.69	$147.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $344.15 / $344.15 / $344.15	Facility		$344.15	$344.15	$344.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $63.95 / $101.63	Professional		$1.52	$63.95	$101.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.19 / $17.98 / $26.99	Professional	26	$0.19	$17.98	$26.99
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.33 / $49.76 / $74.64	Professional	TC	$1.33	$49.76	$74.64
United Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $99.79 / $147.87	Professional		$65.22	$99.79	$147.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.95 / $22.66 / $34.96	Professional	26	$15.95	$22.66	$34.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.25 / $79.88 / $123.49	Professional	TC	$47.25	$79.88	$123.49