Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $10.56 / $12.67	Facility	26	$9.98	$10.56	$12.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $42.14 / $205.80	Professional		$35.04	$42.14	$205.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $12.35 / $62.29	Professional	26	$10.56	$12.35	$62.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $30.44 / $143.51	Professional	TC	$24.44	$30.44	$143.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $29.16 / $55.40	Professional		$24.59	$29.16	$55.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $8.02 / $19.62	Professional	26	$8.02	$8.02	$19.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $40.40 / $49.02	Professional		$33.02	$40.40	$49.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $12.49 / $15.71	Professional	26	$8.53	$12.49	$15.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $27.45 / $33.42	Professional	TC	$24.48	$27.45	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $48.76 / $72.90	Professional		$32.42	$48.76	$72.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $15.09 / $19.95	Professional	26	$10.02	$15.09	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $33.27 / $52.95	Professional	TC	$22.97	$33.27	$52.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $48.42 / $62.89	Professional		$0.33	$48.42	$62.89
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $13.39 / $17.39	Professional	26	$0.13	$13.39	$17.39
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $34.20 / $44.37	Professional	TC	$0.21	$34.20	$44.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $36.45 / $56.49	Professional		$0.33	$36.45	$56.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $10.30 / $15.45	Professional	26	$0.13	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $27.36 / $41.04	Professional	TC	$0.21	$27.36	$41.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $37.17 / $64.89	Professional		$30.69	$37.17	$64.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $11.56 / $21.02	Professional	26	$8.81	$11.56	$21.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.67 / $47.39	Professional	TC	$21.88	$25.67	$47.39