Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.01 / $9.55 / $11.46	Facility	26	$9.01	$9.55	$11.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $39.04 / $183.00	Professional		$31.30	$39.04	$183.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.54 / $53.00	Professional	26	$8.51	$10.54	$53.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.98 / $50.25	Professional	TC	$20.39	$24.98	$50.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $24.91	Professional		$21.79	$21.79	$24.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $10.42 / $13.70	Professional	26	$7.26	$10.42	$13.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.68 / $40.86	Professional		$27.54	$33.68	$40.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $10.64 / $13.20	Professional	26	$8.89	$10.64	$13.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $23.04 / $29.75	Professional	TC	$18.03	$23.04	$29.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $39.74 / $63.41	Professional		$27.15	$39.74	$63.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $12.44 / $17.72	Professional	26	$8.09	$12.44	$17.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.92 / $45.69	Professional	TC	$19.05	$27.92	$45.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $40.70 / $55.08	Professional		$0.27	$40.70	$55.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.63 / $14.88	Professional	26	$0.09	$11.63	$14.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $29.02 / $37.89	Professional	TC	$0.18	$29.02	$37.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $32.25 / $49.47	Professional		$0.27	$32.25	$49.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.30 / $13.95	Professional	26	$0.09	$9.30	$13.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $23.68 / $35.52	Professional	TC	$0.18	$23.68	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $33.20 / $60.43	Professional		$26.66	$33.20	$60.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $10.47 / $18.87	Professional	26	$7.39	$10.47	$18.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $22.73 / $41.39	Professional	TC	$18.47	$22.73	$41.39