Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.59 / $24.15 / $28.98	Facility	26	$22.59	$24.15	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $45.75 / $268.50	Professional		$41.75	$45.75	$268.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $24.87 / $135.00	Professional	26	$21.37	$24.87	$135.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.10 / $96.00	Professional	TC	$20.39	$23.10	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $40.51 / $93.72	Professional		$35.22	$40.51	$93.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $22.15 / $22.15	Professional	26	$21.35	$22.15	$22.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $18.35 / $18.35	Professional	TC	$18.35	$18.35	$18.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $45.97 / $67.54	Professional		$42.86	$45.97	$67.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $23.27 / $34.18	Professional	26	$22.12	$23.27	$34.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $22.70 / $33.35	Professional	TC	$20.32	$22.70	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $63.19 / $107.67	Professional		$36.76	$63.19	$107.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $30.18 / $44.82	Professional	26	$20.00	$30.18	$44.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $30.96 / $65.28	Professional	TC	$16.76	$30.96	$65.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $53.94 / $80.91	Professional		$0.67	$53.94	$80.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $28.73 / $40.42	Professional	26	$0.20	$28.73	$40.42
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.47 / $23.41 / $36.77	Professional	TC	$0.47	$23.41	$36.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $42.60 / $67.43	Professional		$0.67	$42.60	$67.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $23.94 / $35.90	Professional	26	$0.20	$23.94	$35.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.47 / $21.01 / $31.52	Professional	TC	$0.47	$21.01	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $49.44 / $96.05	Professional		$40.83	$49.44	$96.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $25.62 / $41.88	Professional	26	$18.19	$25.62	$41.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $22.02 / $53.52	Professional	TC	$19.73	$22.02	$53.52