Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $581.69 / $792.60	Facility		$76.92	$581.69	$792.60
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 $26.79 / $74.86 / $399.52	Facility	TC	$26.79	$74.86	$399.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $46.00 / $162.00	Professional		$29.48	$46.00	$162.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $12.84 / $45.00	Professional	26	$7.78	$12.84	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $26.79 / $116.00	Professional	TC	$21.69	$26.79	$116.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $40.13 / $48.03	Professional		$24.37	$40.13	$48.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $12.46 / $15.80	Professional	26	$6.48	$12.46	$15.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $41.24 / $41.24	Facility		$32.99	$41.24	$41.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $30.72 / $39.54	Professional		$28.53	$30.72	$39.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.09 / $11.40	Professional	26	$6.98	$9.09	$11.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $22.20 / $29.75	Professional	TC	$21.03	$22.20	$29.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $168.41 / $498.40	Facility		$89.48	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $37.40 / $60.91	Professional		$24.89	$37.40	$60.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.75 / $15.84	Professional	26	$6.98	$10.75	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $26.67 / $45.95	Professional	TC	$17.91	$26.67	$45.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $38.38 / $53.41	Professional		$0.27	$38.38	$53.41
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 / $28.42 / $37.89	Professional	TC	$0.15	$28.42	$37.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $31.60 / $47.97	Professional		$0.27	$31.60	$47.97
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 / $23.68 / $35.52	Professional	TC	$0.15	$23.68	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $31.76 / $55.44	Professional		$23.02	$31.76	$55.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $9.02 / $16.42	Professional	26	$6.25	$9.02	$16.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $22.74 / $41.39	Professional	TC	$17.48	$22.74	$41.39