Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $15.14	Facility	26	$12.02	$12.02	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $165.96	Professional		$33.88	$44.67	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $66.07	Professional	26	$10.00	$14.13	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $64.57	Professional	TC	$22.91	$30.20	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $42.66	Professional		$28.18	$29.51	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.55 / $25.70	Professional	26	$8.71	$9.55	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $69.18	Professional		$40.74	$40.74	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $20.42	Professional	26	$11.75	$11.75	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $47.86	Professional	TC	$28.84	$28.84	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $81.28	Professional		$30.90	$46.77	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $23.44	Professional	26	$10.72	$15.14	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $57.54	Professional	TC	$21.88	$31.62	$57.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $53.70 / $70.79	Professional		$0.18	$53.70	$70.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $15.14 / $19.95	Professional	26	$0.06	$15.14	$19.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $38.02 / $51.29	Professional	TC	$0.12	$38.02	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $66.07	Professional		$0.18	$0.18	$66.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $0.06 / $19.05	Professional	26	$0.06	$0.06	$19.05
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $0.12 / $47.86	Professional	TC	$0.12	$0.12	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $43.65	Professional		$41.69	$43.65	$43.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.59 / $12.59	Professional	26	$12.02	$12.59	$12.59
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $31.62 / $31.62	Professional	TC	$29.51	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $69.18	Professional		$30.90	$42.66	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.80 / $22.39	Professional	26	$10.72	$13.80	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $46.77	Professional	TC	$19.95	$28.18	$46.77