Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.59 / $12.24 / $14.69	Facility	26	$11.59	$12.24	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $45.33 / $212.59	Professional		$37.92	$45.33	$212.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.55 / $24.66	Professional	26	$10.27	$12.55	$24.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $33.46 / $61.02	Professional	TC	$28.17	$33.46	$61.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $31.31 / $39.86	Professional		$31.31	$31.31	$39.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $17.14 / $22.76	Professional	26	$9.05	$17.14	$22.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $41.88 / $51.14	Professional		$36.72	$41.88	$51.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.63 / $14.51	Professional	26	$9.89	$11.63	$14.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $30.25 / $37.09	Professional	TC	$26.82	$30.25	$37.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $48.50 / $79.00	Professional		$34.46	$48.50	$79.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $13.81 / $22.72	Professional	26	$9.32	$13.81	$22.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $34.96 / $56.67	Professional	TC	$25.01	$34.96	$56.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $54.44 / $72.29	Professional		$0.32	$54.44	$72.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $14.55 / $19.60	Professional	26	$0.12	$14.55	$19.60
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $39.27 / $51.84	Professional	TC	$0.21	$39.27	$51.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $40.65 / $64.94	Professional		$0.32	$40.65	$64.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $12.25 / $18.38	Professional	26	$0.12	$12.25	$18.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $31.04 / $46.56	Professional	TC	$0.21	$31.04	$46.56
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $41.14 / $67.26	Professional		$28.99	$41.14	$67.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $12.99 / $21.43	Professional	26	$7.39	$12.99	$21.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $28.19 / $51.23	Professional	TC	$21.60	$28.19	$51.23