Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.81 / $14.27 / $17.12	Facility	26	$13.81	$14.27	$17.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $74.42 / $326.00	Professional		$60.68	$74.42	$326.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $17.39 / $83.99	Professional	26	$14.27	$17.39	$83.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $53.08 / $251.00	Professional	TC	$44.99	$53.08	$251.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $48.01 / $58.79	Professional		$40.36	$48.01	$58.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $11.52 / $20.29	Professional	26	$11.20	$11.52	$20.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $56.33 / $56.33 / $56.33	Professional	TC	$56.33	$56.33	$56.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $64.51 / $83.05	Professional		$53.86	$64.51	$83.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $16.93 / $21.80	Professional	26	$11.43	$16.93	$21.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $49.09 / $59.57	Professional	TC	$40.54	$49.09	$59.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $74.80 / $115.77	Professional		$52.52	$74.80	$115.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $21.33 / $27.90	Professional	26	$14.21	$21.33	$27.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.68 / $54.28 / $90.10	Professional	TC	$36.68	$54.28	$90.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $78.34 / $104.68	Professional		$0.54	$78.34	$104.68
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $18.53 / $24.06	Professional	26	$0.18	$18.53	$24.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.36 / $58.38 / $77.47	Professional	TC	$0.36	$58.38	$77.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $60.01 / $94.02	Professional		$0.54	$60.01	$94.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $14.25 / $21.38	Professional	26	$0.18	$14.25	$21.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.36 / $48.42 / $72.63	Professional	TC	$0.36	$48.42	$72.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $60.91 / $111.50	Professional		$48.88	$60.91	$111.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $16.03 / $28.71	Professional	26	$13.07	$16.03	$28.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.81 / $44.75 / $81.45	Professional	TC	$35.81	$44.75	$81.45