Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $15.39 / $18.47	Facility	26	$14.46	$15.39	$18.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $79.48 / $343.00	Professional		$60.53	$79.48	$343.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.01 / $19.85 / $86.00	Professional	26	$15.01	$19.85	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $57.02 / $268.00	Professional	TC	$45.50	$57.02	$268.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $66.68 / $120.61	Professional		$52.22	$66.68	$120.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $26.46 / $28.44	Professional	26	$11.70	$26.46	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $74.87 / $104.30	Professional		$63.57	$74.87	$104.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $17.61 / $24.78	Professional	26	$13.51	$17.61	$24.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.38 / $57.48 / $79.48	Professional	TC	$47.38	$57.48	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $77.45 / $131.56	Professional		$50.07	$77.45	$131.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $19.98 / $28.56	Professional	26	$12.86	$19.98	$28.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.21 / $60.73 / $103.00	Professional	TC	$37.21	$60.73	$103.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $82.47 / $119.76	Professional		$0.28	$82.47	$119.76
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $18.64 / $24.92	Professional	26	$0.08	$18.64	$24.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $65.30 / $90.85	Professional	TC	$0.21	$65.30	$90.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $68.09 / $107.57	Professional		$0.28	$68.09	$107.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $14.92 / $22.38	Professional	26	$0.08	$14.92	$22.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $56.78 / $85.17	Professional	TC	$0.21	$56.78	$85.17
United Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $68.56 / $113.14	Professional		$52.22	$68.56	$113.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $16.60 / $30.21	Professional	26	$13.07	$16.60	$30.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.53 / $51.97 / $92.88	Professional	TC	$38.53	$51.97	$92.88