Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.27 / $11.91 / $14.29	Facility	26	$11.27	$11.91	$14.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $48.43 / $248.68	Professional		$40.39	$48.43	$248.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $12.21 / $58.00	Professional	26	$9.41	$12.21	$58.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $35.09 / $87.93	Professional	TC	$30.98	$35.09	$87.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $24.56 / $24.56	Professional	26	$9.03	$24.56	$24.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $46.20 / $56.38	Professional		$38.78	$46.20	$56.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $11.80 / $14.60	Professional	26	$9.58	$11.80	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.54 / $34.29 / $42.06	Professional	TC	$28.54	$34.29	$42.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $52.22 / $83.78	Professional		$38.06	$52.22	$83.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.80 / $22.10	Professional	26	$8.63	$13.80	$22.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $39.27 / $62.79	Professional	TC	$27.57	$39.27	$62.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $55.11 / $73.50	Professional		$0.38	$55.11	$73.50
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $13.48 / $18.07	Professional	26	$0.11	$13.48	$18.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $40.89 / $54.63	Professional	TC	$0.27	$40.89	$54.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $43.24 / $66.02	Professional		$0.38	$43.24	$66.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $11.30 / $16.95	Professional	26	$0.11	$11.30	$16.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $32.71 / $49.07	Professional	TC	$0.27	$32.71	$49.07
United Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $43.67 / $79.48	Professional		$35.69	$43.67	$79.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $12.63 / $22.99	Professional	26	$8.96	$12.63	$22.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $31.04 / $56.49	Professional	TC	$26.86	$31.04	$56.49