Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $10.90 / $98.60	Facility	26	$10.30	$10.90	$98.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.73 / $203.00	Professional		$38.02	$43.73	$203.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $13.19 / $57.00	Professional	26	$9.68	$13.19	$57.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $31.60 / $154.00	Professional	TC	$24.75	$31.60	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $30.45 / $57.87	Professional		$29.33	$30.45	$57.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $15.24 / $22.44	Professional	26	$8.27	$15.24	$22.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $39.65 / $48.12	Professional		$34.15	$39.65	$48.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $11.80 / $14.60	Professional	26	$8.78	$11.80	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $27.85 / $35.46	Professional	TC	$24.79	$27.85	$35.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $45.57 / $73.39	Professional		$32.00	$45.57	$73.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.78 / $20.22	Professional	26	$8.63	$13.78	$20.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $32.49 / $54.15	Professional	TC	$23.38	$32.49	$54.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $48.00 / $64.56	Professional		$0.35	$48.00	$64.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $12.88 / $16.48	Professional	26	$0.13	$12.88	$16.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $35.06 / $45.38	Professional	TC	$0.23	$35.06	$45.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $38.07 / $57.99	Professional		$0.35	$38.07	$57.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $10.30 / $15.45	Professional	26	$0.13	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $28.36 / $42.54	Professional	TC	$0.23	$28.36	$42.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.97 / $65.58	Professional		$30.20	$38.97	$65.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $11.91 / $22.44	Professional	26	$8.96	$11.91	$22.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $27.07 / $49.27	Professional	TC	$21.66	$27.07	$49.27