Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $15.39 / $18.47	Facility	26	$14.46	$15.39	$18.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $44.49 / $122.00	Professional		$17.27	$44.49	$122.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $17.50 / $74.80	Professional	26	$7.48	$17.50	$74.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $25.63 / $52.52	Professional	TC	$10.11	$25.63	$52.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $21.40 / $31.51	Professional	26	$11.70	$21.40	$31.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $20.94 / $51.44	Professional		$12.37	$20.94	$51.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $8.86 / $17.61	Professional	26	$5.93	$8.86	$17.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.44 / $12.06 / $33.83	Professional	TC	$6.44	$12.06	$33.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $32.31 / $67.67	Professional		$15.69	$32.31	$67.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $12.13 / $25.39	Professional	26	$6.75	$12.13	$25.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $20.94 / $43.64	Professional	TC	$9.27	$20.94	$43.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $47.25 / $71.73	Professional		$0.18	$47.25	$71.73
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $16.05 / $23.34	Professional	26	$0.07	$16.05	$23.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.11 / $31.20 / $45.38	Professional	TC	$0.11	$31.20	$45.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $41.58 / $64.43	Professional		$0.18	$41.58	$64.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.07 / $14.59 / $21.89	Professional	26	$0.07	$14.59	$21.89
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.11 / $28.36 / $42.54	Professional	TC	$0.11	$28.36	$42.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $35.75 / $71.39	Professional		$16.38	$35.75	$71.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $14.35 / $26.80	Professional	26	$6.57	$14.35	$26.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.76 / $24.27 / $45.26	Professional	TC	$8.76	$24.27	$45.26