Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.92 / $12.58 / $15.10	Facility	26	$11.92	$12.58	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $52.89 / $240.00	Professional		$40.88	$52.89	$240.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $14.71 / $68.00	Professional	26	$11.21	$14.71	$68.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $35.36 / $173.00	Professional	TC	$27.55	$35.36	$173.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $36.15 / $44.28	Professional		$36.15	$36.15	$44.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $9.53 / $23.42	Professional	26	$9.53	$9.53	$23.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $44.21 / $57.25	Professional		$38.35	$44.21	$57.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $13.73 / $16.89	Professional	26	$11.74	$13.73	$16.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $30.85 / $42.78	Professional	TC	$25.90	$30.85	$42.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $54.24 / $88.97	Professional		$36.56	$54.24	$88.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $16.03 / $23.35	Professional	26	$10.30	$16.03	$23.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $38.39 / $65.62	Professional	TC	$26.26	$38.39	$65.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $56.03 / $77.97	Professional		$0.36	$56.03	$77.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $15.39 / $19.70	Professional	26	$0.13	$15.39	$19.70
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $41.26 / $55.01	Professional	TC	$0.23	$41.26	$55.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $45.18 / $70.04	Professional		$0.36	$45.18	$70.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $12.31 / $18.47	Professional	26	$0.13	$12.31	$18.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $34.38 / $51.57	Professional	TC	$0.23	$34.38	$51.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $46.56 / $82.08	Professional		$33.40	$46.56	$82.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $13.71 / $23.94	Professional	26	$9.10	$13.71	$23.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $32.85 / $59.14	Professional	TC	$24.40	$32.85	$59.14