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 $28.03 / $36.21 / $173.69	Professional		$28.03	$36.21	$173.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $9.27 / $19.07	Professional	26	$7.63	$9.27	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $26.74 / $50.76	Professional	TC	$20.39	$26.74	$50.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $30.65 / $30.65	Professional		$30.65	$30.65	$30.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.48 / $14.73	Professional	26	$6.48	$6.48	$14.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $31.33 / $40.09	Professional		$28.53	$31.33	$40.09
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 $21.51 / $22.68 / $29.35	Professional	TC	$21.51	$22.68	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $38.78 / $60.91	Professional		$26.91	$38.78	$60.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.75 / $15.84	Professional	26	$6.98	$10.75	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $28.03 / $45.32	Professional	TC	$19.93	$28.03	$45.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $40.34 / $53.96	Professional		$0.27	$40.34	$53.96
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 / $29.88 / $38.43	Professional	TC	$0.18	$29.88	$38.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $31.28 / $48.47	Professional		$0.27	$31.28	$48.47
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 / $24.02 / $36.03	Professional	TC	$0.18	$24.02	$36.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.40 / $57.15	Professional		$23.30	$31.40	$57.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $9.02 / $15.97	Professional	26	$6.04	$9.02	$15.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $22.79 / $40.72	Professional	TC	$17.98	$22.79	$40.72