Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $8.19 / $9.84	Facility	26	$7.71	$8.19	$9.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $38.00 / $137.33	Professional		$13.07	$38.00	$137.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $10.75 / $45.00	Professional	26	$7.22	$10.75	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $25.40 / $129.29	Professional	TC	$18.84	$25.40	$129.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $30.96 / $55.87	Professional		$24.36	$30.96	$55.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $11.72 / $16.80	Professional	26	$6.22	$11.72	$16.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $29.52 / $39.56	Professional		$28.27	$29.52	$39.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.69 / $10.56	Professional	26	$6.74	$8.69	$10.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.32 / $42.96 / $59.35	Professional	50	$37.32	$42.96	$59.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $21.66 / $30.16	Professional	TC	$20.07	$21.66	$30.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $36.82 / $60.29	Professional		$24.91	$36.82	$60.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $10.32 / $15.22	Professional	26	$6.71	$10.32	$15.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.13 / $45.07	Professional	TC	$18.20	$26.13	$45.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $39.35 / $55.64	Professional		$0.22	$39.35	$55.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $9.94 / $12.74	Professional	26	$0.08	$9.94	$12.74
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $29.15 / $40.56	Professional	TC	$0.14	$29.15	$40.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $31.60 / $49.98	Professional		$0.22	$31.60	$49.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $7.96 / $11.94	Professional	26	$0.08	$7.96	$11.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $25.35 / $38.03	Professional	TC	$0.14	$25.35	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $31.76 / $55.47	Professional		$22.50	$31.76	$55.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $8.66 / $15.60	Professional	26	$6.36	$8.66	$15.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.05 / $23.10 / $40.26	Professional	TC	$15.05	$23.10	$40.26