Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.78 / $15.28 / $18.34	Facility	26	$14.78	$15.28	$18.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.90 / $295.00	Professional		$48.98	$58.90	$295.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $18.32 / $86.00	Professional	26	$13.78	$18.32	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $41.56 / $74.26	Professional	TC	$34.09	$41.56	$74.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $76.95 / $95.66	Professional		$46.25	$76.95	$95.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $11.96 / $11.96	Professional	26	$11.96	$11.96	$11.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $54.08 / $65.87	Professional		$45.54	$54.08	$65.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $16.82 / $21.00	Professional	26	$12.24	$16.82	$21.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $37.46 / $45.63	Professional	TC	$31.95	$37.46	$45.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $62.93 / $98.33	Professional		$42.92	$62.93	$98.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $19.82 / $28.35	Professional	26	$12.79	$19.82	$28.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.32 / $41.77 / $69.98	Professional	TC	$30.32	$41.77	$69.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $66.06 / $85.69	Professional		$0.43	$66.06	$85.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.17 / $18.64 / $23.99	Professional	26	$0.17	$18.64	$23.99
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.26 / $45.60 / $60.77	Professional	TC	$0.26	$45.60	$60.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $50.63 / $76.97	Professional		$0.43	$50.63	$76.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.17 / $14.92 / $22.38	Professional	26	$0.17	$14.92	$22.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.26 / $36.39 / $54.59	Professional	TC	$0.26	$36.39	$54.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $51.97 / $94.58	Professional		$39.22	$51.97	$94.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $16.60 / $28.98	Professional	26	$12.17	$16.60	$28.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.38 / $36.15 / $66.64	Professional	TC	$28.38	$36.15	$66.64