Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $10.90 / $13.08	Facility	26	$10.30	$10.90	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $52.17 / $203.17	Professional		$41.23	$52.17	$203.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $62.00	Professional	26	$10.02	$11.82	$62.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.33 / $41.42 / $159.78	Professional	TC	$30.33	$41.42	$159.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $10.23 / $14.82	Professional	26	$8.26	$10.23	$14.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $46.89 / $58.41	Professional		$37.70	$46.89	$58.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $12.01 / $14.60	Professional	26	$10.16	$12.01	$14.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $32.29 / $43.09	Professional	TC	$27.21	$32.29	$43.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $53.74 / $78.72	Professional		$34.93	$53.74	$78.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.03 / $20.22	Professional	26	$9.82	$14.03	$20.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $39.45 / $60.21	Professional	TC	$25.20	$39.45	$60.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $53.18 / $70.93	Professional		$0.34	$53.18	$70.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $13.57 / $17.77	Professional	26	$0.12	$13.57	$17.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $39.21 / $52.39	Professional	TC	$0.23	$39.21	$52.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $39.36 / $63.02	Professional		$0.34	$39.36	$63.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $10.64 / $15.96	Professional	26	$0.12	$10.64	$15.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $31.37 / $47.06	Professional	TC	$0.23	$31.37	$47.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $42.23 / $74.11	Professional		$36.09	$42.23	$74.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $11.55 / $19.05	Professional	26	$7.67	$11.55	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $31.36 / $52.74	Professional	TC	$27.65	$31.36	$52.74