Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.61 / $31.46 / $37.75	Facility	26	$29.61	$31.46	$37.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $125.00 / $472.95	Professional		$79.00	$125.00	$472.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $47.17 / $162.35	Professional	26	$27.84	$47.17	$162.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.03 / $62.21 / $294.08	Professional	TC	$50.03	$62.21	$294.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $97.60 / $148.19	Professional		$62.46	$97.60	$148.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $29.61 / $48.86	Professional	26	$22.92	$29.61	$48.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.29 / $44.29 / $44.29	Professional	TC	$44.29	$44.29	$44.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $85.40 / $119.79	Professional		$77.47	$85.40	$119.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.21 / $33.79 / $44.04	Professional	26	$29.21	$33.79	$44.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.26 / $53.80 / $77.12	Professional	TC	$48.26	$53.80	$77.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $106.21 / $153.29	Professional		$74.93	$106.21	$153.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.53 / $40.08 / $58.38	Professional	26	$25.53	$40.08	$58.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.39 / $65.90 / $99.41	Professional	TC	$46.39	$65.90	$99.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $97.93 / $146.90	Professional		$0.70	$97.93	$146.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $36.26 / $51.51	Professional	26	$0.32	$36.26	$51.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.39 / $61.32 / $87.78	Professional	TC	$0.39	$61.32	$87.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $78.08 / $122.42	Professional		$0.70	$78.08	$122.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $30.51 / $45.77	Professional	26	$0.32	$30.51	$45.77
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.39 / $51.10 / $76.65	Professional	TC	$0.39	$51.10	$76.65
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $85.57 / $152.81	Professional		$68.20	$85.57	$152.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $33.20 / $54.28	Professional	26	$23.33	$33.20	$54.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.19 / $52.33 / $96.10	Professional	TC	$45.19	$52.33	$96.10