Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.77 / $449.19 / $617.50	Facility		$71.77	$449.19	$617.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $9.77 / $13.54	Facility	26	$8.36	$9.77	$13.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.96 / $174.49 / $573.41	Facility	TC	$23.96	$174.49	$573.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $28.71 / $110.00	Professional		$17.87	$28.71	$110.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $9.78 / $39.90	Professional	26	$8.16	$9.78	$39.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.66 / $17.52 / $71.00	Professional	TC	$10.66	$17.52	$71.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $24.67 / $38.20	Professional		$20.10	$24.67	$38.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $12.37 / $15.36	Professional	26	$6.69	$12.37	$15.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $32.70 / $32.70	Facility		$26.16	$32.70	$32.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $25.92 / $36.86	Professional		$23.10	$25.92	$36.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.28 / $13.49	Professional	26	$7.59	$9.28	$13.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $16.11 / $22.27	Professional	TC	$14.35	$16.11	$22.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $168.41 / $498.40	Facility		$17.36	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $26.27 / $48.46	Professional		$15.94	$26.27	$48.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.12 / $16.47	Professional	26	$7.25	$11.12	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.69 / $14.99 / $28.49	Professional	TC	$8.69	$14.99	$28.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $27.82 / $42.23	Professional		$0.22	$27.82	$42.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.32 / $13.28	Professional	26	$0.09	$10.32	$13.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $20.14 / $28.39	Professional	TC	$0.13	$20.14	$28.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $25.13 / $37.94	Professional		$0.22	$25.13	$37.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.30 / $12.45	Professional	26	$0.09	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $25.50 / $26.28	Professional	TC	$0.13	$25.50	$26.28
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $25.98 / $48.95	Professional		$17.57	$25.98	$48.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.38 / $17.07	Professional	26	$7.39	$9.38	$17.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.07 / $16.59 / $27.39	Professional	TC	$9.07	$16.59	$27.39