Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $8.19 / $9.84	Facility	26	$7.71	$8.19	$9.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.27 / $45.31 / $196.56	Facility	TC	$21.27	$45.31	$196.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $30.65 / $160.00	Professional		$25.17	$30.65	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.63 / $46.55	Professional	26	$7.50	$8.63	$46.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $21.73 / $100.50	Professional	TC	$17.67	$21.73	$100.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.22 / $11.35	Professional	26	$6.22	$6.22	$11.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $32.72 / $46.07	Professional		$26.48	$32.72	$46.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $9.40 / $12.96	Professional	26	$7.20	$9.40	$12.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $22.91 / $33.10	Professional	TC	$19.39	$22.91	$33.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $34.52 / $54.68	Professional		$22.31	$34.52	$54.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $10.52 / $15.22	Professional	26	$6.71	$10.52	$15.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $24.12 / $39.46	Professional	TC	$15.60	$24.12	$39.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $35.15 / $48.93	Professional		$0.18	$35.15	$48.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.94 / $13.13	Professional	26	$0.09	$9.94	$13.13
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.09 / $25.39 / $34.14	Professional	TC	$0.09	$25.39	$34.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $28.69 / $43.95	Professional		$0.18	$28.69	$43.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $7.96 / $11.94	Professional	26	$0.09	$7.96	$11.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.09 / $21.34 / $32.01	Professional	TC	$0.09	$21.34	$32.01
United Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $29.59 / $53.85	Professional		$23.30	$29.59	$53.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.66 / $15.28	Professional	26	$6.92	$8.66	$15.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.98 / $20.93 / $38.09	Professional	TC	$15.98	$20.93	$38.09