Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $7.87 / $9.44	Facility	26	$7.39	$7.87	$9.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.15 / $114.12	Professional		$21.53	$25.15	$114.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.81 / $39.00	Professional	26	$6.74	$8.81	$39.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $18.09 / $37.29	Professional	TC	$14.78	$18.09	$37.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $5.98 / $7.49	Professional	26	$5.98	$5.98	$7.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $24.96 / $30.30	Professional		$21.51	$24.96	$30.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.33 / $10.11	Professional	26	$6.44	$8.33	$10.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $16.63 / $20.39	Professional	TC	$14.90	$16.63	$20.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $28.31 / $45.96	Professional		$20.30	$28.31	$45.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.64 / $14.60	Professional	26	$6.15	$9.64	$14.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.68 / $19.22 / $31.44	Professional	TC	$13.68	$19.22	$31.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $29.53 / $39.45	Professional		$0.20	$29.53	$39.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.22 / $12.21	Professional	26	$0.09	$9.22	$12.21
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.11 / $19.98 / $26.55	Professional	TC	$0.11	$19.98	$26.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $23.51 / $35.43	Professional		$0.20	$23.51	$35.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $7.63 / $11.45	Professional	26	$0.09	$7.63	$11.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.11 / $15.99 / $23.99	Professional	TC	$0.11	$15.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $24.54 / $44.67	Professional		$18.45	$24.54	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $8.30 / $15.11	Professional	26	$6.08	$8.30	$15.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.85 / $16.23 / $29.56	Professional	TC	$12.85	$16.23	$29.56