Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.53 / $10.25	Facility	26	$8.03	$8.53	$10.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $45.09 / $163.00	Professional		$30.52	$45.09	$163.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.78 / $41.07	Professional	26	$8.25	$9.78	$41.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $32.34 / $143.00	Professional	TC	$22.26	$32.34	$143.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $58.84 / $58.84	Professional		$29.71	$58.84	$58.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $14.69 / $14.69	Professional	26	$6.47	$14.69	$14.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $36.19 / $48.52	Professional		$32.67	$36.19	$48.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $9.40 / $11.77	Professional	26	$7.93	$9.40	$11.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.70 / $54.28 / $72.78	Professional	50	$43.70	$54.28	$72.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.68 / $39.11	Professional	TC	$23.44	$27.68	$39.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $43.40 / $75.86	Professional		$28.73	$43.40	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $11.00 / $15.84	Professional	26	$7.85	$11.00	$15.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $32.29 / $60.02	Professional	TC	$20.99	$32.29	$60.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $49.38 / $70.16	Professional		$0.23	$49.38	$70.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $10.79 / $14.01	Professional	26	$0.08	$10.79	$14.01
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $37.08 / $53.94	Professional	TC	$0.14	$37.08	$53.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $38.71 / $63.02	Professional		$0.23	$38.71	$63.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.08 / $8.30 / $12.45	Professional	26	$0.08	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $33.71 / $50.57	Professional	TC	$0.14	$33.71	$50.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $39.34 / $64.91	Professional		$23.51	$39.34	$64.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $9.02 / $17.00	Professional	26	$6.39	$9.02	$17.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $30.32 / $57.12	Professional	TC	$15.99	$30.32	$57.12