Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $891.25	Professional		$354.81	$549.54	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $165.96 / $213.80	Professional	26	$144.54	$165.96	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $275.42 / $446.68	Professional	TC	$181.97	$275.42	$446.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $512.86	Professional	26	$83.18	$83.18	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $524.81	Professional		$173.78	$186.21	$524.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $141.25	Professional	26	$74.13	$87.10	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $100.00 / $389.05	Professional	TC	$97.72	$100.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $457.09	Facility		$234.42	$245.47	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $125.89 / $229.09	Facility	26	$117.49	$125.89	$229.09
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $114.82 / $123.03 / $229.09	Facility	TC	$114.82	$123.03	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $245.47	Professional	26	$154.88	$154.88	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $281.84	Professional	TC	$173.78	$173.78	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $467.74 / $602.56	Professional		$5.25	$467.74	$602.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.55 / $186.21 / $275.42	Professional	26	$1.55	$186.21	$275.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $245.47 / $436.52	Professional	TC	$3.72	$245.47	$436.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Professional		$338.84	$354.81	$354.81
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $165.96 / $169.82	Professional	26	$162.18	$165.96	$169.82
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $190.55 / $190.55	Professional	TC	$165.96	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $251.19	Facility		$93.33	$128.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $630.96	Professional		$208.93	$354.81	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $114.82 / $295.12	Professional	26	$109.65	$114.82	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $363.08	Professional	TC	$97.72	$169.82	$363.08