Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.01 / $11.32 / $13.58	Facility	26	$9.01	$11.32	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $73.34 / $825.75	Professional		$27.38	$73.34	$825.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.37 / $54.34	Professional	26	$9.36	$11.37	$54.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $56.50 / $76.31	Professional	TC	$16.05	$56.50	$76.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $13.33 / $19.63	Professional	26	$7.21	$13.33	$19.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $25.59 / $70.43	Professional		$21.59	$25.59	$70.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $9.77 / $13.40	Professional	26	$8.59	$9.77	$13.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $15.60 / $60.58	Professional	TC	$12.70	$15.60	$60.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $48.37 / $136.25	Professional		$23.23	$48.37	$136.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $12.33 / $17.72	Professional	26	$8.09	$12.33	$17.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $28.39 / $126.10	Professional	TC	$13.17	$28.39	$126.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $37.43 / $79.30	Professional		$1.17	$37.43	$79.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $11.63 / $14.88	Professional	26	$0.09	$11.63	$14.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.08 / $23.67 / $64.43	Professional	TC	$1.08	$23.67	$64.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $25.29 / $37.94	Professional		$1.17	$25.29	$37.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $9.30 / $13.95	Professional	26	$0.09	$9.30	$13.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.08 / $15.99 / $23.99	Professional	TC	$1.08	$15.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $33.99 / $141.88	Professional		$19.94	$33.99	$141.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $9.49 / $18.39	Professional	26	$8.02	$9.49	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $18.78 / $112.05	Professional	TC	$11.35	$18.78	$112.05