Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.53 / $10.25	Facility	26	$8.03	$8.53	$10.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $43.35 / $196.00	Professional		$33.17	$43.35	$196.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $10.88 / $45.00	Professional	26	$7.78	$10.88	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $31.45 / $142.00	Professional	TC	$25.57	$31.45	$142.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $35.70	Professional		$28.02	$28.02	$35.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $11.90 / $12.22	Professional	26	$6.48	$11.90	$12.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $34.40 / $45.65	Professional		$32.78	$34.40	$45.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.09 / $11.40	Professional	26	$6.98	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.64 / $26.55 / $36.27	Professional	TC	$24.64	$26.55	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $41.26 / $71.50	Professional		$28.40	$41.26	$71.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.70 / $15.84	Professional	26	$6.98	$10.70	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $31.29 / $55.66	Professional	TC	$20.59	$31.29	$55.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $44.80 / $62.34	Professional		$0.27	$44.80	$62.34
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.38 / $13.28	Professional	26	$0.09	$10.38	$13.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $34.72 / $46.45	Professional	TC	$0.18	$34.72	$46.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $36.45 / $56.00	Professional		$0.27	$36.45	$56.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.30 / $12.45	Professional	26	$0.09	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $29.03 / $43.55	Professional	TC	$0.18	$29.03	$43.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $36.81 / $62.32	Professional		$23.78	$36.81	$62.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $9.02 / $16.25	Professional	26	$6.25	$9.02	$16.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $27.79 / $45.85	Professional	TC	$17.14	$27.79	$45.85