Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $13.93 / $16.72	Facility	26	$13.21	$13.93	$16.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $45.20 / $234.00	Professional		$36.88	$45.20	$234.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $14.31 / $29.23	Professional	26	$11.50	$14.31	$29.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $30.90 / $61.20	Professional	TC	$25.37	$30.90	$61.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $41.47 / $41.47	Professional		$41.47	$41.47	$41.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $10.56 / $10.56	Professional	26	$10.56	$10.56	$10.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.96 / $53.07	Professional		$38.02	$41.96	$53.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $14.11 / $17.80	Professional	26	$11.18	$14.11	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $28.40 / $37.09	Professional	TC	$25.90	$28.40	$37.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $51.47 / $82.13	Professional		$34.82	$51.47	$82.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $17.02 / $25.85	Professional	26	$10.86	$17.02	$25.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $34.60 / $56.67	Professional	TC	$23.96	$34.60	$56.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $52.63 / $71.83	Professional		$0.39	$52.63	$71.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $16.27 / $21.30	Professional	26	$0.15	$16.27	$21.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $36.36 / $47.52	Professional	TC	$0.23	$36.36	$47.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $42.27 / $64.52	Professional		$0.39	$42.27	$64.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $13.31 / $19.97	Professional	26	$0.15	$13.31	$19.97
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $29.70 / $44.55	Professional	TC	$0.23	$29.70	$44.55
United Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $43.67 / $79.48	Professional		$34.94	$43.67	$79.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.16 / $25.85	Professional	26	$10.23	$15.16	$25.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $28.51 / $52.74	Professional	TC	$22.72	$28.51	$52.74