Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $14.94 / $17.93	Facility	26	$14.46	$14.94	$17.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $55.15 / $153.19	Professional		$40.90	$55.15	$153.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.67 / $55.10	Professional	26	$13.58	$15.67	$55.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $41.56 / $118.05	Professional	TC	$25.97	$41.56	$118.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $11.72 / $26.52	Professional	26	$11.72	$11.72	$26.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $49.78 / $83.13	Professional		$27.12	$49.78	$83.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $17.22 / $21.00	Professional	26	$9.27	$17.22	$21.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $29.28 / $65.91	Professional	TC	$17.85	$29.28	$65.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $61.15 / $92.97	Professional		$34.72	$61.15	$92.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $19.67 / $27.73	Professional	26	$12.51	$19.67	$27.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $38.81 / $72.70	Professional	TC	$22.51	$38.81	$72.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $52.01 / $70.25	Professional		$0.45	$52.01	$70.25
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $18.32 / $23.87	Professional	26	$0.18	$18.32	$23.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $33.36 / $44.57	Professional	TC	$0.27	$33.36	$44.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $39.96 / $62.42	Professional		$0.45	$39.96	$62.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $14.92 / $22.38	Professional	26	$0.18	$14.92	$22.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $26.69 / $40.04	Professional	TC	$0.27	$26.69	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $49.54 / $84.48	Professional		$37.95	$49.54	$84.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $16.23 / $29.56	Professional	26	$11.98	$16.23	$29.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $29.45 / $63.42	Professional	TC	$21.89	$29.45	$63.42