Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $7.53 / $9.03	Facility	26	$7.07	$7.53	$9.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.22 / $27.02 / $131.41	Facility	TC	$14.22	$27.02	$131.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $23.99 / $115.77	Professional		$21.21	$23.99	$115.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $8.30 / $41.00	Professional	26	$6.43	$8.30	$41.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.22 / $16.76 / $30.31	Professional	TC	$14.22	$16.76	$30.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Professional		$20.54	$20.54	$20.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $5.72 / $12.92	Professional	26	$5.72	$5.72	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $24.56 / $29.81	Professional		$18.89	$24.56	$29.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.93 / $10.00	Professional	26	$6.19	$7.93	$10.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.94 / $31.50 / $39.86	Professional	50	$24.94	$31.50	$39.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $15.81 / $20.10	Professional	TC	$12.70	$15.81	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $28.50 / $41.03	Professional		$18.89	$28.50	$41.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.53 / $13.97	Professional	26	$6.15	$9.53	$13.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.11 / $18.73 / $28.35	Professional	TC	$13.11	$18.73	$28.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $28.11 / $36.11	Professional		$0.20	$28.11	$36.11
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $9.11 / $11.66	Professional	26	$0.07	$9.11	$11.66
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $18.62 / $23.91	Professional	TC	$0.13	$18.62	$23.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $20.92 / $32.43	Professional		$0.20	$20.92	$32.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $7.29 / $10.94	Professional	26	$0.07	$7.29	$10.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $14.32 / $21.48	Professional	TC	$0.13	$14.32	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $22.88 / $39.76	Professional		$18.59	$22.88	$39.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $7.94 / $14.31	Professional	26	$5.49	$7.94	$14.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.42 / $14.64 / $25.36	Professional	TC	$12.42	$14.64	$25.36