Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.96 / $46.77	Facility		$7.59	$10.96	$46.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $9.33	Facility	26	$7.08	$7.08	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $63.10	Professional		$10.23	$13.80	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $45.71	Professional	26	$6.03	$8.91	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $12.30	Professional	50	$11.48	$11.48	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $7.94	Professional	TC	$3.02	$3.98	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.71 / $14.79	Professional		$7.94	$8.71	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.14 / $15.14	Facility		$9.33	$15.14	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $19.05	Professional		$10.72	$13.80	$19.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $12.88	Professional	26	$7.24	$9.33	$12.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $13.18 / $18.20 / $28.84	Professional	50	$13.18	$18.20	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $3.47 / $6.17	Professional	TC	$3.31	$3.47	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $46.77 / $125.89	Facility		$3.63	$46.77	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $22.91	Professional		$11.48	$15.85	$22.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $15.49	Professional	26	$7.76	$10.96	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.90 / $7.76	Professional	TC	$3.02	$4.90	$7.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $13.80 / $19.95	Professional		$0.05	$13.80	$19.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $9.12 / $13.49	Professional	26	$0.05	$9.12	$13.49
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $5.25 / $6.92	Professional	TC	$3.98	$5.25	$6.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $17.38	Professional		$0.05	$0.05	$17.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $0.05 / $11.48	Professional	26	$0.05	$0.05	$11.48
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $5.89 / $5.89	Professional	TC	$5.89	$5.89	$5.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $15.85	Professional		$10.96	$11.48	$15.85
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.59 / $10.96	Professional	26	$7.41	$7.59	$10.96
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $3.98 / $5.01	Professional	TC	$3.55	$3.98	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $19.95	Professional		$9.12	$12.30	$19.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.32 / $13.49	Professional	26	$6.61	$8.32	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $3.98 / $6.61	Professional	TC	$2.57	$3.98	$6.61