Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $8.86 / $10.64	Facility	26	$8.36	$8.86	$10.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $33.65 / $156.85	Professional		$24.10	$33.65	$156.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.31 / $48.00	Professional	26	$7.95	$10.31	$48.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.94 / $52.94 / $52.94	Professional	50	$52.94	$52.94	$52.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.22 / $22.05 / $107.67	Professional	TC	$15.22	$22.05	$107.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.05 / $22.77	Professional		$15.79	$18.05	$22.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $12.37 / $18.22	Professional	26	$6.72	$12.37	$18.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $28.95 / $33.99	Professional		$20.88	$28.95	$33.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.30 / $11.40	Professional	26	$7.28	$9.30	$11.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.56 / $34.79 / $47.13	Professional	50	$27.56	$34.79	$47.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.59 / $18.68 / $22.15	Professional	TC	$13.59	$18.68	$22.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $34.53 / $46.38	Professional		$23.86	$34.53	$46.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $10.97 / $16.47	Professional	26	$7.62	$10.97	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $22.76 / $32.17	Professional	TC	$14.69	$22.76	$32.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $32.45 / $43.98	Professional		$0.24	$32.45	$43.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.21 / $14.88	Professional	26	$0.09	$11.21	$14.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $21.59 / $30.31	Professional	TC	$0.15	$21.59	$30.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $23.19 / $37.44	Professional		$0.24	$23.19	$37.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $8.97 / $13.46	Professional	26	$0.09	$8.97	$13.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $15.99 / $23.99	Professional	TC	$0.15	$15.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.76 / $51.23	Professional		$21.60	$28.76	$51.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.38 / $17.07	Professional	26	$6.92	$9.38	$17.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.35 / $19.73 / $34.39	Professional	TC	$15.35	$19.73	$34.39