Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.03 / $45.29 / $54.35	Facility	26	$36.03	$45.29	$54.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $95.84 / $411.40	Professional		$83.73	$95.84	$411.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $48.34 / $224.36	Professional	26	$34.07	$48.34	$224.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $56.22 / $187.04	Professional	TC	$40.72	$56.22	$187.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $97.38 / $97.38	Professional		$75.45	$97.38	$97.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $54.77 / $66.34	Professional	26	$29.02	$54.77	$66.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $86.28 / $111.08	Professional		$62.02	$86.28	$111.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $37.43 / $50.92	Professional	26	$34.86	$37.43	$50.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $41.03 / $55.96	Professional	TC	$27.16	$41.03	$55.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $110.49 / $192.77	Professional		$68.97	$110.49	$192.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $48.10 / $70.89	Professional	26	$31.50	$48.10	$70.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $55.46 / $134.55	Professional	TC	$33.00	$55.46	$134.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $99.14 / $133.07	Professional		$1.53	$99.14	$133.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $46.01 / $58.90	Professional	26	$0.36	$46.01	$58.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.17 / $54.29 / $70.93	Professional	TC	$1.17	$54.29	$70.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $78.81 / $118.23	Professional		$1.53	$78.81	$118.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $36.81 / $55.22	Professional	26	$0.36	$36.81	$55.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.17 / $42.01 / $63.02	Professional	TC	$1.17	$42.01	$63.02
United Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $88.17 / $182.21	Professional		$62.27	$88.17	$182.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.85 / $36.15 / $74.22	Professional	26	$29.85	$36.15	$74.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.60 / $40.50 / $119.39	Professional	TC	$27.60	$40.50	$119.39