Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.18 / $14.94 / $17.93	Facility	26	$14.18	$14.94	$17.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.67 / $66.81 / $292.67	Facility	TC	$31.67	$66.81	$292.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $47.28 / $249.00	Professional		$37.95	$47.28	$249.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $15.36 / $90.01	Professional	26	$14.44	$15.36	$90.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $31.67 / $58.20	Professional	TC	$23.51	$31.67	$58.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Professional		$43.38	$43.38	$43.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $11.32 / $11.32	Professional	26	$11.32	$11.32	$11.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $46.80 / $70.00	Professional		$41.03	$46.80	$70.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $16.39 / $22.84	Professional	26	$12.57	$16.39	$22.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.95 / $32.65 / $45.00	Professional	TC	$25.95	$32.65	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $52.13 / $86.50	Professional		$33.60	$52.13	$86.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $19.14 / $27.72	Professional	26	$12.81	$19.14	$27.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $34.22 / $58.77	Professional	TC	$20.79	$34.22	$58.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $53.70 / $75.08	Professional		$0.39	$53.70	$75.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.16 / $18.30 / $24.37	Professional	26	$0.16	$18.30	$24.37
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $34.93 / $48.59	Professional	TC	$0.23	$34.93	$48.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $44.21 / $67.44	Professional		$0.39	$44.21	$67.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.16 / $14.59 / $21.89	Professional	26	$0.16	$14.59	$21.89
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $30.37 / $45.56	Professional	TC	$0.23	$30.37	$45.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $45.47 / $76.69	Professional		$35.25	$45.47	$76.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $16.60 / $30.21	Professional	26	$13.07	$16.60	$30.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $28.87 / $52.54	Professional	TC	$20.46	$28.87	$52.54