Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $10.23	Facility	26	$7.94	$7.94	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $151.36	Professional		$25.70	$33.88	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.32 / $19.95	Professional	26	$7.08	$8.32	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $48.98	Professional	TC	$19.05	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $30.90	Professional		$19.50	$22.91	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.17 / $6.31	Professional	26	$5.37	$6.17	$6.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $19.50	Professional	TC	$17.78	$17.78	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $52.48	Professional		$30.20	$30.90	$52.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.94 / $13.80	Professional	26	$7.76	$7.94	$13.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.91 / $38.90	Professional	TC	$22.39	$22.91	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $61.66	Professional		$26.92	$37.15	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $15.85	Professional	26	$6.92	$10.47	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $46.77	Professional	TC	$19.95	$27.54	$46.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $38.90 / $51.29	Professional		$0.27	$38.90	$51.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.00 / $13.18	Professional	26	$0.09	$10.00	$13.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $28.84 / $38.02	Professional	TC	$0.18	$28.84	$38.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $48.98	Professional		$0.27	$0.27	$48.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $0.09 / $12.59	Professional	26	$0.09	$0.09	$12.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $0.18 / $36.31	Professional	TC	$0.18	$0.18	$36.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $32.36	Professional		$31.62	$32.36	$32.36
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.32 / $8.32	Professional	26	$7.94	$8.32	$8.32
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.99 / $23.99	Professional	TC	$23.44	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $51.29	Professional		$23.44	$32.36	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $14.79	Professional	26	$6.03	$9.12	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.39 / $38.90	Professional	TC	$17.38	$22.39	$38.90