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 $29.87 / $39.95 / $211.69	Professional		$29.87	$39.95	$211.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.35 / $50.00	Professional	26	$7.92	$10.35	$50.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.99 / $159.91	Professional	TC	$21.94	$29.99	$159.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $6.74 / $6.74	Professional	26	$6.74	$6.74	$6.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $33.86 / $47.25	Professional		$30.49	$33.86	$47.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.48 / $12.30	Professional	26	$8.25	$9.48	$12.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $24.41 / $37.09	Professional	TC	$21.96	$24.41	$37.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $42.07 / $72.13	Professional		$28.74	$42.07	$72.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.39 / $16.47	Professional	26	$7.25	$11.39	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $31.29 / $55.66	Professional	TC	$20.73	$31.29	$55.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $46.95 / $67.37	Professional		$0.27	$46.95	$67.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.87 / $14.35	Professional	26	$0.09	$10.87	$14.35
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $35.63 / $50.19	Professional	TC	$0.18	$35.63	$50.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $37.42 / $60.51	Professional		$0.27	$37.42	$60.51
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.97 / $13.46	Professional	26	$0.09	$8.97	$13.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $31.37 / $47.06	Professional	TC	$0.18	$31.37	$47.06
United Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $37.17 / $61.33	Professional		$24.63	$37.17	$61.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $9.38 / $17.07	Professional	26	$6.54	$9.38	$17.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $27.79 / $45.85	Professional	TC	$16.61	$27.79	$45.85