Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.59 / $11.91 / $14.29	Facility	26	$11.59	$11.91	$14.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $48.81 / $224.00	Professional		$35.67	$48.81	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $13.94 / $66.00	Professional	26	$10.60	$13.94	$66.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $32.61 / $158.00	Professional	TC	$25.05	$32.61	$158.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $28.46 / $41.44	Professional		$28.46	$28.46	$41.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $9.27 / $9.27	Professional	26	$9.27	$9.27	$9.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $41.20 / $52.81	Professional		$35.08	$41.20	$52.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $13.35 / $16.39	Professional	26	$11.11	$13.35	$16.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $28.40 / $39.11	Professional	TC	$23.28	$28.40	$39.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $48.94 / $82.12	Professional		$33.75	$48.94	$82.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $15.61 / $22.10	Professional	26	$10.02	$15.61	$22.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $33.74 / $60.02	Professional	TC	$23.47	$33.74	$60.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $51.61 / $71.83	Professional		$0.34	$51.61	$71.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $14.55 / $18.78	Professional	26	$0.13	$14.55	$18.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.22 / $37.64 / $50.19	Professional	TC	$0.22	$37.64	$50.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $42.27 / $64.52	Professional		$0.34	$42.27	$64.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $11.64 / $17.46	Professional	26	$0.13	$11.64	$17.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.22 / $31.37 / $47.06	Professional	TC	$0.22	$31.37	$47.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $42.95 / $77.34	Professional		$29.87	$42.95	$77.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $12.99 / $24.48	Professional	26	$9.84	$12.99	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $29.96 / $53.95	Professional	TC	$20.27	$29.96	$53.95