Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.10 / $6.52 / $7.82	Facility	26	$6.10	$6.52	$7.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.31 / $83.52 / $313.27	Facility	TC	$25.31	$83.52	$313.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $34.40 / $133.00	Professional		$23.82	$34.40	$133.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $9.64 / $27.00	Professional	26	$5.87	$9.64	$27.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $30.90 / $106.00	Professional	TC	$22.71	$30.90	$106.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $27.46 / $52.78	Professional		$18.94	$27.46	$52.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.88 / $9.02 / $13.29	Professional	26	$4.88	$9.02	$13.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $29.02 / $36.13	Professional		$25.75	$29.02	$36.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.39 / $6.77 / $9.09	Professional	26	$5.39	$6.77	$9.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $22.25 / $28.13	Professional	TC	$19.91	$22.25	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $33.22 / $54.67	Professional		$22.49	$33.22	$54.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.32 / $8.36 / $12.09	Professional	26	$5.32	$8.36	$12.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.62 / $42.79	Professional	TC	$16.73	$25.62	$42.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $37.22 / $47.83	Professional		$0.18	$37.22	$47.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $7.86 / $10.06	Professional	26	$0.06	$7.86	$10.06
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $29.04 / $37.31	Professional	TC	$0.12	$29.04	$37.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $28.04 / $42.96	Professional		$0.18	$28.04	$42.96
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.06 / $6.29 / $9.44	Professional	26	$0.06	$6.29	$9.44
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.12 / $22.34 / $33.51	Professional	TC	$0.12	$22.34	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $28.51 / $52.36	Professional		$20.23	$28.51	$52.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.74 / $6.86 / $12.15	Professional	26	$4.74	$6.86	$12.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $21.65 / $39.76	Professional	TC	$15.07	$21.65	$39.76