Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $7.87 / $9.44	Facility	26	$7.39	$7.87	$9.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $37.85 / $109.39	Professional		$17.50	$37.85	$109.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $11.89 / $43.00	Professional	26	$7.48	$11.89	$43.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.32 / $14.64 / $80.87	Professional	52	$13.32	$14.64	$80.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.70 / $98.64	Professional	TC	$18.21	$22.70	$98.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.91 / $51.72	Professional		$18.55	$21.91	$51.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $11.45 / $16.10	Professional	26	$5.98	$11.45	$16.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.15 / $34.68	Professional		$25.33	$28.15	$34.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.31 / $10.90	Professional	26	$6.44	$8.31	$10.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.44 / $38.79 / $52.03	Professional	50	$33.44	$38.79	$52.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $20.00 / $25.68	Professional	TC	$18.35	$20.00	$25.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $34.40 / $54.06	Professional		$22.86	$34.40	$54.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $10.03 / $14.60	Professional	26	$6.42	$10.03	$14.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $24.12 / $39.46	Professional	TC	$16.50	$24.12	$39.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $35.79 / $47.26	Professional		$0.21	$35.79	$47.26
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $9.53 / $12.21	Professional	26	$0.07	$9.53	$12.21
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $25.84 / $34.52	Professional	TC	$0.14	$25.84	$34.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $27.39 / $42.45	Professional		$0.21	$27.39	$42.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $7.63 / $11.45	Professional	26	$0.07	$7.63	$11.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $20.67 / $31.01	Professional	TC	$0.14	$20.67	$31.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $28.51 / $51.89	Professional		$21.21	$28.51	$51.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $8.30 / $14.96	Professional	26	$5.76	$8.30	$14.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $20.21 / $36.78	Professional	TC	$14.68	$20.21	$36.78