Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $12.92 / $15.50	Facility	26	$12.24	$12.92	$15.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.66 / $65.31 / $283.33	Facility	TC	$30.66	$65.31	$283.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.15 / $232.00	Professional		$35.22	$44.15	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $13.26 / $30.34	Professional	26	$12.06	$13.26	$30.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $30.66 / $65.05	Professional	TC	$23.17	$30.66	$65.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.04 / $40.51	Professional		$33.04	$33.04	$40.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $17.70 / $18.12	Professional	26	$9.80	$17.70	$18.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $44.12 / $61.76	Professional		$29.12	$44.12	$61.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $13.95 / $20.49	Professional	26	$8.06	$13.95	$20.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $31.52 / $43.57	Professional	TC	$21.06	$31.52	$43.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $48.64 / $80.88	Professional		$31.41	$48.64	$80.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $16.57 / $23.97	Professional	26	$10.90	$16.57	$23.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $33.19 / $56.90	Professional	TC	$20.50	$33.19	$56.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $50.01 / $70.16	Professional		$0.32	$50.01	$70.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $15.46 / $20.56	Professional	26	$0.14	$15.46	$20.56
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.19 / $34.15 / $47.52	Professional	TC	$0.19	$34.15	$47.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $41.30 / $63.02	Professional		$0.32	$41.30	$63.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $12.31 / $18.47	Professional	26	$0.14	$12.31	$18.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.19 / $29.70 / $44.55	Professional	TC	$0.19	$29.70	$44.55
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $42.22 / $73.70	Professional		$32.86	$42.22	$73.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $13.72 / $24.95	Professional	26	$11.09	$13.72	$24.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $28.51 / $51.89	Professional	TC	$21.21	$28.51	$51.89