Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.19 / $9.84	Facility	26	$8.03	$8.19	$9.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $33.15 / $176.00	Professional		$26.87	$33.15	$176.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.69 / $18.19	Professional	26	$7.33	$8.69	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.96 / $47.48	Professional	TC	$19.46	$24.96	$47.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.48 / $6.48	Professional	26	$6.48	$6.48	$6.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $31.11 / $40.35	Professional		$28.82	$31.11	$40.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $9.09 / $11.40	Professional	26	$6.69	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $22.13 / $30.98	Professional	TC	$21.43	$22.13	$30.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $37.61 / $61.54	Professional		$25.65	$37.61	$61.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.70 / $15.22	Professional	26	$6.98	$10.70	$15.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.16 / $47.84	Professional	TC	$18.77	$26.16	$47.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $40.22 / $56.20	Professional		$0.27	$40.22	$56.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $10.38 / $13.28	Professional	26	$0.12	$10.38	$13.28
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $29.33 / $40.56	Professional	TC	$0.15	$29.33	$40.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $32.57 / $50.48	Professional		$0.27	$32.57	$50.48
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $8.30 / $12.45	Professional	26	$0.12	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $25.35 / $38.03	Professional	TC	$0.15	$25.35	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $32.47 / $56.70	Professional		$22.55	$32.47	$56.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $9.02 / $16.42	Professional	26	$6.26	$9.02	$16.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $23.46 / $41.80	Professional	TC	$15.63	$23.46	$41.80