Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.65 / $10.22 / $12.26	Facility	26	$9.65	$10.22	$12.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $39.94 / $177.86	Professional		$32.93	$39.94	$177.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.28 / $25.37	Professional	26	$10.02	$11.28	$25.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.31 / $51.04	Professional	TC	$22.87	$26.31	$51.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $63.36	Professional		$25.90	$25.90	$63.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.89 / $18.98	Professional	26	$7.76	$13.89	$18.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $37.04 / $44.96	Professional		$30.42	$37.04	$44.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $11.71 / $14.57	Professional	26	$8.27	$11.71	$14.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $25.04 / $30.38	Professional	TC	$21.81	$25.04	$30.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $43.40 / $65.40	Professional		$29.48	$43.40	$65.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $13.83 / $18.97	Professional	26	$9.59	$13.83	$18.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $29.93 / $47.77	Professional	TC	$20.73	$29.93	$47.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $45.49 / $58.43	Professional		$0.32	$45.49	$58.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $12.96 / $16.82	Professional	26	$0.14	$12.96	$16.82
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $31.28 / $41.67	Professional	TC	$0.18	$31.28	$41.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $33.54 / $52.49	Professional		$0.32	$33.54	$52.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $9.97 / $14.96	Professional	26	$0.14	$9.97	$14.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $25.02 / $37.53	Professional	TC	$0.18	$25.02	$37.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $34.65 / $63.07	Professional		$27.00	$34.65	$63.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $11.19 / $20.37	Professional	26	$8.00	$11.19	$20.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $23.46 / $43.29	Professional	TC	$19.32	$23.46	$43.29