Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $14.45	Facility	26	$10.96	$10.96	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $89.13	Professional		$36.31	$45.71	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $25.12	Professional	26	$8.91	$12.02	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $64.57	Professional	TC	$25.70	$33.88	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $44.67	Professional		$28.84	$29.51	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.12 / $21.88	Professional	26	$9.12	$9.12	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $72.44	Professional		$40.74	$42.66	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.22 / $19.05	Professional	26	$10.23	$11.22	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $52.48	Professional	TC	$30.90	$30.90	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $85.11	Professional		$38.02	$52.48	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.49 / $21.88	Professional	26	$9.12	$13.49	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $63.10	Professional	TC	$27.54	$38.90	$63.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $52.48 / $70.79	Professional		$0.38	$52.48	$70.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $13.49 / $18.20	Professional	26	$0.11	$13.49	$18.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $38.90 / $52.48	Professional	TC	$0.27	$38.90	$52.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $66.07	Professional		$0.38	$0.38	$66.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $0.11 / $16.98	Professional	26	$0.11	$0.11	$16.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $0.27 / $48.98	Professional	TC	$0.27	$0.27	$48.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	26	$11.22	$11.22	$11.22
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $32.36 / $32.36	Professional	TC	$31.62	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $72.44	Professional		$34.67	$44.67	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $19.95	Professional	26	$7.76	$12.59	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $30.90 / $53.70	Professional	TC	$26.92	$30.90	$53.70