Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $354.81 / $691.83	Facility		$33.88	$354.81	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.32 / $10.23	Facility	26	$7.94	$8.32	$10.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $134.90 / $478.63	Facility	TC	$19.50	$134.90	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $112.20	Professional		$23.99	$31.62	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $38.90	Professional	26	$7.08	$10.96	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $48.98	Professional	TC	$15.14	$20.89	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $27.54	Professional		$18.20	$21.38	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.61 / $12.59	Professional	26	$6.17	$6.61	$12.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $15.49 / $44.67	Professional	TC	$12.59	$15.49	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $36.31	Facility		$22.91	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $45.71	Professional		$26.30	$26.30	$45.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.94 / $13.80	Professional	26	$7.76	$7.94	$13.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.62 / $31.62	Professional	TC	$18.20	$18.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $204.17 / $549.54	Facility		$19.50	$204.17	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $52.48	Professional		$23.44	$33.88	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.47 / $15.85	Professional	26	$7.59	$10.47	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.44 / $38.02	Professional	TC	$15.49	$23.44	$38.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $33.88 / $44.67	Professional		$0.27	$33.88	$44.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.00 / $13.80	Professional	26	$0.09	$10.00	$13.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $23.44 / $31.62	Professional	TC	$0.18	$23.44	$31.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $41.69	Professional		$0.27	$0.27	$41.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $0.09 / $12.59	Professional	26	$0.09	$0.09	$12.59
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $0.18 / $29.51	Professional	TC	$0.18	$0.18	$29.51
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $28.18	Professional		$26.92	$28.18	$28.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.32 / $8.32	Professional	26	$7.94	$8.32	$8.32
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.50 / $19.50	Professional	TC	$19.05	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $47.86	Professional		$20.42	$28.84	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.12 / $14.79	Professional	26	$6.31	$9.12	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.95 / $34.67	Professional	TC	$14.13	$19.95	$34.67