Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 Professional Modifier Low / Median / High Price $27.46 / $35.10 / $161.00	Professional		$27.46	$35.10	$161.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $12.41 / $43.00	Professional	26	$7.78	$12.41	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $23.33 / $98.21	Professional	TC	$18.43	$23.33	$98.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $23.42 / $53.70	Professional		$20.49	$23.42	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $12.37 / $15.36	Professional	26	$6.74	$12.37	$15.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $29.10 / $38.29	Professional		$21.42	$29.10	$38.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $9.09 / $11.40	Professional	26	$5.61	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.81 / $19.82 / $27.72	Professional	TC	$15.81	$19.82	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $35.00 / $59.05	Professional		$23.16	$35.00	$59.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $10.68 / $16.47	Professional	26	$6.69	$10.68	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.47 / $25.20 / $42.79	Professional	TC	$16.47	$25.20	$42.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $37.18 / $51.74	Professional		$0.22	$37.18	$51.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.36 / $13.81	Professional	26	$0.09	$10.36	$13.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $26.81 / $35.74	Professional	TC	$0.13	$26.81	$35.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $30.30 / $46.47	Professional		$0.22	$30.30	$46.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.63 / $12.95	Professional	26	$0.09	$8.63	$12.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $22.34 / $33.51	Professional	TC	$0.13	$22.34	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $31.04 / $53.20	Professional		$20.02	$31.04	$53.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.38 / $16.72	Professional	26	$6.64	$9.38	$16.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.08 / $21.66 / $36.47	Professional	TC	$14.08	$21.66	$36.47