Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $295.12 / $691.83	Facility		$46.77	$295.12	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.77 / $13.49	Facility	26	$7.94	$9.77	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $199.53 / $446.68	Facility	TC	$34.67	$199.53	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $104.71	Professional		$16.98	$25.70	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $41.69	Professional	26	$7.08	$9.77	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $16.98 / $30.90	Professional	TC	$9.77	$16.98	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $28.84	Professional		$16.60	$19.50	$28.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $6.92 / $13.49	Professional	26	$6.46	$6.92	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.49 / $30.90	Professional	TC	$11.75	$13.49	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $33.11	Facility		$20.89	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $39.81	Professional		$24.55	$24.55	$39.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $14.45	Professional	26	$8.32	$8.32	$14.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.22 / $26.30	Professional	TC	$14.45	$16.22	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $169.82 / $416.87	Facility		$17.38	$169.82	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $48.98	Professional		$17.78	$26.30	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $16.22	Professional	26	$7.24	$10.47	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $14.79 / $29.51	Professional	TC	$9.55	$14.79	$29.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $30.20 / $40.74	Professional		$0.22	$30.20	$40.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.00 / $13.18	Professional	26	$0.09	$10.00	$13.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $21.88 / $28.84	Professional	TC	$8.13	$21.88	$28.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $38.02	Professional		$0.22	$0.22	$38.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $0.09 / $12.59	Professional	26	$0.09	$0.09	$12.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $26.30	Professional	TC	$25.70	$25.70	$26.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $8.32	Professional	26	$8.32	$8.32	$8.32
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $16.98 / $16.98	Professional	TC	$16.60	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $39.81	Professional		$15.85	$25.70	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.33 / $15.49	Professional	26	$7.41	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $15.85 / $22.91	Professional	TC	$8.51	$15.85	$22.91