Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $457.07 / $956.24	Facility		$50.50	$457.07	$956.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.53 / $10.25	Facility	26	$8.03	$8.53	$10.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.59 / $71.31 / $479.29	Facility	TC	$19.59	$71.31	$479.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $31.01 / $138.00	Professional		$26.06	$31.01	$138.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $12.15 / $41.00	Professional	26	$8.23	$12.15	$41.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $20.38 / $100.00	Professional	TC	$16.35	$20.38	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $21.66 / $23.01	Professional		$20.97	$21.66	$23.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $11.90 / $17.52	Professional	26	$6.43	$11.90	$17.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $35.28 / $35.28	Facility		$28.22	$35.28	$35.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $27.54 / $39.74	Professional		$24.40	$27.54	$39.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.30 / $11.40	Professional	26	$6.98	$9.30	$11.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $18.41 / $27.00	Professional	TC	$17.42	$18.41	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $203.39 / $670.85	Facility		$120.44	$203.39	$670.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $36.10 / $52.19	Professional		$22.97	$36.10	$52.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $10.97 / $15.84	Professional	26	$7.61	$10.97	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $25.46 / $37.11	Professional	TC	$15.32	$25.46	$37.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $36.32 / $46.71	Professional		$0.27	$36.32	$46.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.52 / $13.86	Professional	26	$0.09	$10.52	$13.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $24.59 / $32.85	Professional	TC	$0.18	$24.59	$32.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $117.52 / $117.52	Facility		$117.52	$117.52	$117.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $27.07 / $41.96	Professional		$0.27	$27.07	$41.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.30 / $12.45	Professional	26	$0.09	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $19.67 / $29.51	Professional	TC	$0.18	$19.67	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $28.87 / $52.00	Professional		$22.37	$28.87	$52.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $9.02 / $16.55	Professional	26	$7.16	$9.02	$16.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.21 / $19.85 / $36.13	Professional	TC	$14.21	$19.85	$36.13