Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.37 / $28.09 / $33.71	Facility	26	$26.37	$28.09	$33.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $101.07 / $348.88	Professional		$57.71	$101.07	$348.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $28.57 / $132.00	Professional	26	$25.26	$28.57	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $75.81 / $109.92	Professional	TC	$30.66	$75.81	$109.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $46.94 / $89.18	Professional		$45.72	$46.94	$89.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $21.26 / $37.92	Professional	26	$21.10	$21.26	$37.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $66.56 / $118.80	Professional		$54.92	$66.56	$118.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.03 / $30.23 / $39.54	Professional	26	$26.03	$30.23	$39.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.89 / $35.97 / $86.84	Professional	TC	$28.89	$35.97	$86.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $94.34 / $141.36	Professional		$53.95	$94.34	$141.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $36.14 / $52.13	Professional	26	$23.14	$36.14	$52.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.33 / $53.74 / $100.80	Professional	TC	$27.33	$53.74	$100.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $87.33 / $145.55	Professional		$0.69	$87.33	$145.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $32.27 / $45.40	Professional	26	$0.32	$32.27	$45.40
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $49.89 / $92.28	Professional	TC	$0.38	$49.89	$92.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $58.67 / $90.92	Professional		$0.69	$58.67	$90.92
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $26.89 / $40.34	Professional	26	$0.32	$26.89	$40.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.38 / $33.71 / $50.57	Professional	TC	$0.38	$33.71	$50.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $71.50 / $124.58	Professional		$52.58	$71.50	$124.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $29.59 / $54.34	Professional	26	$21.32	$29.59	$54.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $31.84 / $89.52	Professional	TC	$29.36	$31.84	$89.52