Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $8.88 / $10.66	Facility	26	$8.36	$8.88	$10.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $35.92 / $172.00	Professional		$25.85	$35.92	$172.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.78 / $44.00	Professional	26	$7.33	$9.78	$44.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.95 / $130.65	Professional	TC	$18.53	$23.95	$130.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $10.11 / $12.00	Professional	26	$10.11	$10.11	$12.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $25.87 / $25.87	Professional	50	$25.87	$25.87	$25.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $29.72 / $39.51	Professional		$22.11	$29.72	$39.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $9.09 / $11.40	Professional	26	$5.61	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.18 / $36.85 / $59.27	Professional	50	$29.18	$36.85	$59.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $21.04 / $29.75	Professional	TC	$16.48	$21.04	$29.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $35.53 / $60.92	Professional		$24.48	$35.53	$60.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $10.68 / $16.47	Professional	26	$6.69	$10.68	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $25.41 / $45.59	Professional	TC	$17.05	$25.41	$45.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $39.18 / $54.53	Professional		$0.28	$39.18	$54.53
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $10.36 / $13.81	Professional	26	$0.10	$10.36	$13.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $28.82 / $38.43	Professional	TC	$0.18	$28.82	$38.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $31.92 / $48.98	Professional		$0.28	$31.92	$48.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $8.63 / $12.95	Professional	26	$0.10	$8.63	$12.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $24.02 / $36.03	Professional	TC	$0.18	$24.02	$36.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $31.40 / $54.71	Professional		$21.29	$31.40	$54.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $8.66 / $16.32	Professional	26	$6.34	$8.66	$16.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.21 / $22.74 / $37.99	Professional	TC	$14.21	$22.74	$37.99