Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.60 / $17.52	Facility	26	$14.13	$14.60	$17.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $80.73 / $335.35	Professional		$62.39	$80.73	$335.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.60 / $17.80 / $83.99	Professional	26	$14.60	$17.80	$83.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.78 / $57.99 / $116.85	Professional	TC	$47.78	$57.99	$116.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $45.63 / $58.15	Professional		$39.93	$45.63	$58.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $20.19 / $21.90	Professional	26	$11.09	$20.19	$21.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $67.34 / $88.57	Professional		$53.86	$67.34	$88.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $16.82 / $22.32	Professional	26	$11.72	$16.82	$22.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.20 / $48.82 / $67.33	Professional	TC	$41.20	$48.82	$67.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $80.20 / $115.77	Professional		$52.77	$80.20	$115.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $21.68 / $28.26	Professional	26	$13.79	$21.68	$28.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.20 / $59.13 / $88.67	Professional	TC	$39.20	$59.13	$88.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $79.93 / $104.13	Professional		$0.49	$79.93	$104.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $18.53 / $24.06	Professional	26	$0.18	$18.53	$24.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $59.28 / $79.19	Professional	TC	$0.31	$59.28	$79.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $59.37 / $92.52	Professional		$0.49	$59.37	$92.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $14.25 / $21.38	Professional	26	$0.18	$14.25	$21.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $47.42 / $71.13	Professional	TC	$0.31	$47.42	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $63.03 / $110.68	Professional		$52.01	$63.03	$110.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $15.53 / $28.25	Professional	26	$13.07	$15.53	$28.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.94 / $44.75 / $82.79	Professional	TC	$38.94	$44.75	$82.79