Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $10.72	Facility	26	$7.94	$7.94	$10.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $83.18	Professional		$19.95	$30.20	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $28.84	Professional	26	$7.08	$8.91	$28.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.50 / $40.74	Professional	TC	$12.02	$19.50	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $23.99	Professional		$18.20	$20.42	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.76 / $7.24	Professional	26	$6.17	$6.76	$7.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $32.36	Professional	50	$30.20	$30.20	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $38.90	Professional		$22.39	$22.39	$38.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.32 / $14.45	Professional	26	$8.13	$8.32	$14.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.92 / $33.11 / $43.65	Professional	50	$26.92	$33.11	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.45 / $24.55	Professional	TC	$14.13	$14.45	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $46.77	Professional		$23.99	$33.11	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.47 / $16.22	Professional	26	$7.59	$10.47	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $33.88	Professional	TC	$15.14	$22.91	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $31.62 / $41.69	Professional		$0.24	$31.62	$41.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $10.72 / $14.45	Professional	26	$0.09	$10.72	$14.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $20.89 / $26.92	Professional	TC	$0.15	$20.89	$26.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $37.15	Professional		$0.24	$0.24	$37.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $0.09 / $13.49	Professional	26	$0.09	$0.09	$13.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $0.15 / $23.99	Professional	TC	$0.15	$0.15	$23.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $25.12	Professional		$23.44	$25.12	$25.12
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $8.91	Professional	26	$8.32	$8.91	$8.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $15.85 / $15.85	Professional	TC	$14.79	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $45.71	Professional		$21.38	$28.84	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.33 / $15.49	Professional	26	$6.31	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $18.62 / $33.11	Professional	TC	$14.79	$18.62	$33.11