Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $14.25 / $94.85	Facility	26	$12.24	$14.25	$94.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $48.16 / $192.21	Professional		$29.23	$48.16	$192.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $17.05 / $66.00	Professional	26	$11.52	$17.05	$66.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $35.21 / $143.00	Professional	TC	$27.03	$35.21	$143.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $50.83 / $61.80	Professional		$31.34	$50.83	$61.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $18.12 / $26.67	Professional	26	$9.78	$18.12	$26.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $40.76 / $51.09	Professional		$36.63	$40.76	$51.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $14.11 / $17.80	Professional	26	$10.38	$14.11	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $27.18 / $36.27	Professional	TC	$24.92	$27.18	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $48.50 / $79.01	Professional		$33.63	$48.50	$79.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $16.88 / $23.97	Professional	26	$10.57	$16.88	$23.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $32.79 / $55.41	Professional	TC	$22.46	$32.79	$55.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $50.90 / $70.06	Professional		$0.36	$50.90	$70.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $15.73 / $20.13	Professional	26	$0.15	$15.73	$20.13
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $35.24 / $46.99	Professional	TC	$0.21	$35.24	$46.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $40.65 / $62.93	Professional		$0.36	$40.65	$62.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $12.58 / $18.87	Professional	26	$0.15	$12.58	$18.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $29.37 / $44.06	Professional	TC	$0.21	$29.37	$44.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $41.50 / $72.44	Professional		$30.73	$41.50	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $13.96 / $86.60	Professional	26	$10.24	$13.96	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $27.79 / $50.58	Professional	TC	$21.21	$27.79	$50.58