Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.65 / $9.89 / $11.87	Facility	26	$9.65	$9.89	$11.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.86 / $109.12	Professional		$18.05	$20.86	$109.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.45 / $22.86	Professional	26	$9.14	$10.45	$22.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.17 / $10.11 / $49.19	Professional	TC	$8.17	$10.11	$49.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $7.74 / $7.74	Professional	26	$7.74	$7.74	$7.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $21.96 / $27.68	Professional		$16.82	$21.96	$27.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.04 / $13.40	Professional	26	$9.19	$11.04	$13.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.62 / $9.97 / $12.53	Professional	TC	$7.62	$9.97	$12.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $27.80 / $43.60	Professional		$16.97	$27.80	$43.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.69 / $18.35	Professional	26	$8.66	$12.69	$18.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.11 / $13.06 / $25.44	Professional	TC	$8.11	$13.06	$25.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $25.49 / $32.75	Professional		$0.32	$25.49	$32.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $12.46 / $16.64	Professional	26	$0.11	$12.46	$16.64
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $12.53 / $16.28	Professional	TC	$0.21	$12.53	$16.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $18.34 / $29.42	Professional		$0.32	$18.34	$29.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $9.97 / $14.96	Professional	26	$0.11	$9.97	$14.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $9.64 / $14.46	Professional	TC	$0.21	$9.64	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.98 / $36.72	Professional		$18.30	$20.98	$36.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $10.84 / $19.71	Professional	26	$7.49	$10.84	$19.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.40 / $10.39 / $20.79	Professional	TC	$8.40	$10.39	$20.79