Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.88 / $11.86	Facility	26	$9.33	$9.88	$11.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $33.47 / $180.27	Professional		$30.42	$33.47	$180.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $10.90 / $57.94	Professional	26	$9.08	$10.90	$57.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $23.06 / $122.28	Professional	TC	$21.35	$23.06	$122.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $7.49	Professional	26	$7.49	$7.49	$7.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.50 / $38.74	Professional		$27.54	$30.50	$38.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $9.86 / $12.80	Professional	26	$9.19	$9.86	$12.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.70 / $20.68 / $27.72	Professional	TC	$17.70	$20.68	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $38.81 / $60.36	Professional		$26.01	$38.81	$60.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $12.05 / $18.34	Professional	26	$8.10	$12.05	$18.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $25.97 / $43.24	Professional	TC	$17.91	$25.97	$43.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $39.00 / $52.84	Professional		$0.25	$39.00	$52.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $12.04 / $15.41	Professional	26	$0.09	$12.04	$15.41
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $26.86 / $35.22	Professional	TC	$0.16	$26.86	$35.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $30.95 / $47.46	Professional		$0.25	$30.95	$47.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.63 / $14.45	Professional	26	$0.09	$9.63	$14.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $22.01 / $33.02	Professional	TC	$0.16	$22.01	$33.02
United Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $31.76 / $57.81	Professional		$24.61	$31.76	$57.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $10.47 / $18.23	Professional	26	$6.91	$10.47	$18.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.70 / $21.29 / $38.75	Professional	TC	$17.70	$21.29	$38.75