Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $10.96	Facility	26	$8.91	$8.91	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $95.50	Professional		$23.99	$35.48	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $25.70	Professional	26	$7.08	$10.00	$25.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $52.48	Professional	TC	$15.85	$22.91	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Professional		$19.95	$19.95	$21.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Professional	26	$7.94	$7.94	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $46.77	Professional		$26.92	$26.92	$46.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.51 / $14.79	Professional	26	$8.32	$8.51	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $31.62	Professional	TC	$18.62	$18.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $57.54	Professional		$28.84	$40.74	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $17.38	Professional	26	$8.91	$12.30	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $44.67	Professional	TC	$19.95	$28.84	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $39.81 / $51.29	Professional		$0.27	$39.81	$51.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.22 / $15.49	Professional	26	$0.09	$11.22	$15.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $27.54 / $35.48	Professional	TC	$0.18	$27.54	$35.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $45.71	Professional		$0.27	$0.27	$45.71
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $0.09 / $13.80	Professional	26	$0.09	$0.09	$13.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $0.18 / $31.62	Professional	TC	$0.18	$0.18	$31.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $30.20	Professional		$28.18	$30.20	$30.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.33 / $9.33	Professional	26	$8.71	$9.33	$9.33
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $20.89 / $20.89	Professional	TC	$19.50	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $53.70	Professional		$27.54	$35.48	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.77 / $16.22	Professional	26	$7.41	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.39 / $38.90	Professional	TC	$18.62	$22.39	$38.90