Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $10.56 / $12.67	Facility	26	$9.98	$10.56	$12.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $46.22 / $215.00	Professional		$37.67	$46.22	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.81 / $63.96	Professional	26	$9.98	$10.81	$63.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $31.58 / $166.15	Professional	TC	$27.69	$31.58	$166.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $8.02 / $8.02	Professional	26	$8.02	$8.02	$8.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $39.34 / $50.00	Professional		$33.44	$39.34	$50.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $11.80 / $14.60	Professional	26	$9.84	$11.80	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $27.59 / $37.90	Professional	TC	$22.95	$27.59	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $47.35 / $77.75	Professional		$32.01	$47.35	$77.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $13.61 / $19.60	Professional	26	$8.92	$13.61	$19.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $34.00 / $58.15	Professional	TC	$23.09	$34.00	$58.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $49.61 / $69.04	Professional		$0.28	$49.61	$69.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $12.88 / $16.71	Professional	26	$0.11	$12.88	$16.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $36.53 / $49.66	Professional	TC	$0.18	$36.53	$49.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $39.69 / $62.01	Professional		$0.28	$39.69	$62.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $10.30 / $15.45	Professional	26	$0.11	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $31.04 / $46.56	Professional	TC	$0.18	$31.04	$46.56
United Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $40.42 / $70.56	Professional		$34.35	$40.42	$70.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.55 / $20.54	Professional	26	$7.78	$11.55	$20.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $28.87 / $52.54	Professional	TC	$22.40	$28.87	$52.54