Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.62 / $11.23 / $13.48	Facility	26	$10.62	$11.23	$13.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.97 / $55.32 / $441.30	Facility	TC	$25.97	$55.32	$441.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $41.03 / $187.00	Professional		$32.64	$41.03	$187.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $15.95 / $64.00	Professional	26	$10.82	$15.95	$64.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $28.64 / $128.00	Professional	TC	$21.05	$28.64	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $27.63 / $35.11	Professional		$24.18	$27.63	$35.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $16.46 / $23.14	Professional	26	$8.52	$16.46	$23.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $37.63 / $52.66	Professional		$24.91	$37.63	$52.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.78 / $17.52	Professional	26	$7.05	$11.78	$17.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $27.02 / $36.86	Professional	TC	$17.85	$27.02	$36.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $41.55 / $69.03	Professional		$26.81	$41.55	$69.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $14.11 / $20.85	Professional	26	$9.19	$14.11	$20.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $28.46 / $48.18	Professional	TC	$17.62	$28.46	$48.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $42.76 / $60.10	Professional		$0.26	$42.76	$60.10
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $13.30 / $17.77	Professional	26	$0.11	$13.30	$17.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $29.15 / $40.56	Professional	TC	$0.15	$29.15	$40.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $35.79 / $53.99	Professional		$0.26	$35.79	$53.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.11 / $10.64 / $15.96	Professional	26	$0.11	$10.64	$15.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $25.35 / $38.03	Professional	TC	$0.15	$25.35	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $36.45 / $59.85	Professional		$27.37	$36.45	$59.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $11.91 / $21.68	Professional	26	$9.38	$11.91	$21.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $24.54 / $43.91	Professional	TC	$17.32	$24.54	$43.91