Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $13.59 / $16.30	Facility	26	$12.89	$13.59	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $54.00 / $252.00	Professional		$39.97	$54.00	$252.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $14.99 / $62.58	Professional	26	$12.10	$14.99	$62.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $35.36 / $189.13	Professional	TC	$27.87	$35.36	$189.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $31.05	Professional		$31.05	$31.05	$31.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $10.30 / $10.30	Professional	26	$10.30	$10.30	$10.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $45.54 / $58.46	Professional		$39.34	$45.54	$58.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $14.89 / $18.20	Professional	26	$12.70	$14.89	$18.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $31.26 / $42.38	Professional	TC	$25.90	$31.26	$42.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $55.23 / $90.85	Professional		$37.39	$55.23	$90.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $17.30 / $25.22	Professional	26	$11.13	$17.30	$25.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $38.02 / $65.62	Professional	TC	$26.26	$38.02	$65.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $56.50 / $77.97	Professional		$0.36	$56.50	$77.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $16.21 / $20.87	Professional	26	$0.13	$16.21	$20.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $40.45 / $53.94	Professional	TC	$0.23	$40.45	$53.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $46.15 / $70.04	Professional		$0.36	$46.15	$70.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $12.97 / $19.46	Professional	26	$0.13	$12.97	$19.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $33.71 / $50.57	Professional	TC	$0.23	$33.71	$50.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $47.28 / $85.15	Professional		$35.95	$47.28	$85.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $14.44 / $26.01	Professional	26	$10.79	$14.44	$26.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $32.84 / $59.77	Professional	TC	$24.48	$32.84	$59.77