Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.92 / $12.58 / $15.10	Facility	26	$11.92	$12.58	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $47.80 / $218.00	Professional		$37.38	$47.80	$218.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $14.71 / $75.00	Professional	26	$11.82	$14.71	$75.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $33.46 / $152.00	Professional	TC	$23.57	$33.46	$152.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $42.20 / $74.05	Professional		$32.06	$42.20	$74.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $23.42 / $25.97	Professional	26	$9.53	$23.42	$25.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $46.64 / $63.95	Professional		$38.44	$46.64	$63.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.43 / $20.32	Professional	26	$10.84	$14.43	$20.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.95 / $31.52 / $43.61	Professional	TC	$25.95	$31.52	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $48.66 / $79.63	Professional		$31.13	$48.66	$79.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $16.27 / $23.35	Professional	26	$10.63	$16.27	$23.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $33.26 / $56.28	Professional	TC	$20.50	$33.26	$56.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $50.93 / $73.95	Professional		$0.18	$50.93	$73.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $15.73 / $20.75	Professional	26	$0.06	$15.73	$20.75
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $36.47 / $50.74	Professional	TC	$0.12	$36.47	$50.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $41.63 / $66.44	Professional		$0.18	$41.63	$66.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $12.58 / $18.87	Professional	26	$0.06	$12.58	$18.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $31.71 / $47.57	Professional	TC	$0.12	$31.71	$47.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $42.22 / $69.39	Professional		$30.97	$42.22	$69.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $13.71 / $24.95	Professional	26	$10.80	$13.71	$24.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $28.51 / $51.12	Professional	TC	$20.92	$28.51	$51.12