Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $9.21 / $11.05	Facility	26	$8.68	$9.21	$11.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.62 / $72.61 / $218.28	Facility	TC	$23.62	$72.61	$218.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $38.53 / $169.00	Professional		$26.78	$38.53	$169.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $11.80 / $48.08	Professional	26	$8.76	$11.80	$48.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $23.62 / $45.59	Professional	TC	$18.32	$23.62	$45.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $13.45 / $15.92	Professional	26	$6.98	$13.45	$15.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $35.59 / $49.59	Professional		$29.78	$35.59	$49.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.57 / $14.63	Professional	26	$8.06	$10.57	$14.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $24.91 / $34.95	Professional	TC	$20.77	$24.91	$34.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $37.22 / $60.92	Professional		$23.72	$37.22	$60.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $11.83 / $17.09	Professional	26	$7.54	$11.83	$17.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $26.31 / $43.82	Professional	TC	$16.18	$26.31	$43.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $39.10 / $56.20	Professional		$0.23	$39.10	$56.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.21 / $14.78	Professional	26	$0.09	$11.21	$14.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $28.39 / $39.50	Professional	TC	$0.14	$28.39	$39.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $32.25 / $50.48	Professional		$0.23	$32.25	$50.48
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 $0.14 / $24.69 / $37.04	Professional	TC	$0.14	$24.69	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $32.11 / $58.46	Professional		$25.69	$32.11	$58.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.74 / $17.73	Professional	26	$7.67	$9.74	$17.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $22.38 / $40.72	Professional	TC	$16.77	$22.38	$40.72