Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $29.10 / $34.92	Facility	26	$27.34	$29.10	$34.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $104.55 / $541.00	Professional		$86.71	$104.55	$541.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $34.29 / $122.00	Professional	26	$21.12	$34.29	$122.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $72.62 / $169.58	Professional	TC	$61.79	$72.62	$169.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $74.36 / $91.16	Professional		$71.53	$74.36	$91.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $42.38 / $59.57	Professional	26	$22.02	$42.38	$59.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $94.81 / $122.99	Professional		$87.64	$94.81	$122.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $26.98 / $35.29	Professional	26	$24.43	$26.98	$35.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.21 / $68.58 / $84.71	Professional	TC	$61.21	$68.58	$84.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $110.12 / $185.91	Professional		$72.70	$110.12	$185.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $30.94 / $54.01	Professional	26	$19.23	$30.94	$54.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.45 / $78.61 / $131.22	Professional	TC	$49.45	$78.61	$131.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $117.55 / $157.05	Professional		$0.54	$117.55	$157.05
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $31.69 / $44.10	Professional	26	$0.23	$31.69	$44.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $83.22 / $111.02	Professional	TC	$0.31	$83.22	$111.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $92.96 / $141.06	Professional		$0.54	$92.96	$141.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $27.56 / $41.34	Professional	26	$0.23	$27.56	$41.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $66.48 / $99.72	Professional	TC	$0.31	$66.48	$99.72
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $97.80 / $176.80	Professional		$64.98	$97.80	$176.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $30.68 / $50.62	Professional	26	$19.04	$30.68	$50.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.90 / $67.12 / $110.75	Professional	TC	$44.90	$67.12	$110.75