Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.40 / $15.63 / $18.76	Facility	26	$14.40	$15.63	$18.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $70.68 / $125.00	Professional		$43.61	$70.68	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $15.61 / $49.00	Professional	26	$7.78	$15.61	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.98 / $63.35 / $133.21	Professional	TC	$27.98	$63.35	$133.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $11.82 / $20.34	Professional	26	$11.82	$11.82	$20.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $51.51 / $92.65	Professional		$40.64	$51.51	$92.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $14.28 / $18.68	Professional	26	$8.11	$14.28	$18.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.35 / $34.22 / $84.53	Professional	TC	$26.35	$34.22	$84.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $64.23 / $116.79	Professional		$39.97	$64.23	$116.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $12.64 / $25.78	Professional	26	$7.23	$12.64	$25.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.91 / $48.45 / $104.05	Professional	TC	$27.91	$48.45	$104.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $57.07 / $74.12	Professional		$0.45	$57.07	$74.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $15.20 / $24.32	Professional	26	$0.09	$15.20	$24.32
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.36 / $38.75 / $56.60	Professional	TC	$0.36	$38.75	$56.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $41.53 / $65.84	Professional		$0.45	$41.53	$65.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $15.20 / $22.80	Professional	26	$0.09	$15.20	$22.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.36 / $43.05 / $44.69	Professional	TC	$0.36	$43.05	$44.69
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $51.13 / $96.18	Professional		$42.59	$51.13	$96.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $15.59 / $25.96	Professional	26	$6.87	$15.59	$25.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $38.67 / $87.36	Professional	TC	$26.70	$38.67	$87.36