Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $560.40 / $605.57	Facility		$43.42	$560.40	$605.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $8.88 / $10.66	Facility	26	$8.36	$8.88	$10.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.31 / $58.17 / $273.07	Facility	TC	$27.31	$58.17	$273.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $40.79 / $200.05	Professional		$33.50	$40.79	$200.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $11.28 / $56.54	Professional	26	$8.88	$11.28	$56.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.15 / $51.26	Professional	TC	$22.87	$28.15	$51.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $61.67 / $61.67	Professional		$26.82	$61.67	$61.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $6.74 / $12.00	Professional	26	$6.74	$6.74	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $45.48 / $45.48	Facility		$36.38	$45.48	$45.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $37.61 / $45.63	Professional		$31.43	$37.61	$45.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.80 / $13.49	Professional	26	$7.23	$10.80	$13.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $25.55 / $33.42	Professional	TC	$23.71	$25.55	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $203.39 / $670.85	Facility		$120.44	$203.39	$670.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $46.60 / $67.14	Professional		$30.61	$46.60	$67.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $13.70 / $18.22	Professional	26	$8.60	$13.70	$18.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $30.99 / $51.62	Professional	TC	$20.69	$30.99	$51.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $46.36 / $59.55	Professional		$0.28	$46.36	$59.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $11.29 / $15.68	Professional	26	$0.12	$11.29	$15.68
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $33.34 / $43.25	Professional	TC	$0.16	$33.34	$43.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $117.52 / $117.52	Facility		$117.52	$117.52	$117.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $34.83 / $53.49	Professional		$0.28	$34.83	$53.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $8.63 / $12.95	Professional	26	$0.12	$8.63	$12.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.16 / $27.03 / $40.54	Professional	TC	$0.16	$27.03	$40.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $36.60 / $65.69	Professional		$28.88	$36.60	$65.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $11.00 / $19.37	Professional	26	$8.25	$11.00	$19.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $25.62 / $46.63	Professional	TC	$19.11	$25.62	$46.63