Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.78 / $16.85 / $18.34	Facility	26	$14.78	$16.85	$18.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $55.49 / $278.00	Professional		$43.64	$55.49	$278.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.39 / $20.12 / $79.00	Professional	26	$14.39	$20.12	$79.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $36.81 / $69.02	Professional	TC	$30.03	$36.81	$69.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $91.46 / $91.46	Professional		$91.46	$91.46	$91.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $14.69 / $22.47	Professional	26	$11.82	$14.69	$22.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $50.27 / $61.01	Professional		$33.52	$50.27	$61.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $17.22 / $21.00	Professional	26	$9.49	$17.22	$21.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.03 / $33.04 / $42.78	Professional	TC	$24.03	$33.04	$42.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $58.55 / $93.35	Professional		$38.67	$58.55	$93.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $19.82 / $28.35	Professional	26	$12.51	$19.82	$28.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $38.39 / $65.50	Professional	TC	$26.93	$38.39	$65.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $61.63 / $82.33	Professional		$0.41	$61.63	$82.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.17 / $18.64 / $23.87	Professional	26	$0.17	$18.64	$23.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $42.98 / $55.17	Professional	TC	$0.23	$42.98	$55.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $48.37 / $73.95	Professional		$0.41	$48.37	$73.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.17 / $14.92 / $22.38	Professional	26	$0.17	$14.92	$22.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $34.38 / $51.57	Professional	TC	$0.23	$34.38	$51.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $49.08 / $85.68	Professional		$35.53	$49.08	$85.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $16.23 / $29.26	Professional	26	$11.38	$16.23	$29.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $32.84 / $59.77	Professional	TC	$24.15	$32.84	$59.77