Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.54 / $23.48 / $28.18	Facility	26	$22.54	$23.48	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $82.35 / $419.00	Professional		$48.10	$82.35	$419.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $31.42 / $98.00	Professional	26	$18.01	$31.42	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $56.82 / $139.03	Professional	TC	$24.62	$56.82	$139.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $38.69 / $73.52	Professional		$19.35	$38.69	$73.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $18.07 / $49.11	Professional	26	$17.48	$18.07	$49.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $52.31 / $91.72	Professional		$45.08	$52.31	$91.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $21.90 / $25.02	Professional	26	$19.10	$21.90	$25.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $28.05 / $64.34	Professional	TC	$23.17	$28.05	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $79.34 / $128.50	Professional		$44.69	$79.34	$128.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $25.03 / $43.57	Professional	26	$15.68	$25.03	$43.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $45.69 / $102.40	Professional	TC	$22.04	$45.69	$102.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $73.31 / $114.55	Professional		$0.46	$73.31	$114.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.19 / $25.91 / $39.76	Professional	26	$0.19	$25.91	$39.76
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $38.29 / $71.87	Professional	TC	$20.52	$38.29	$71.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $48.37 / $76.37	Professional		$0.46	$48.37	$76.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.19 / $23.55 / $35.33	Professional	26	$0.19	$23.55	$35.33
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.27 / $27.36 / $42.59	Professional	TC	$0.27	$27.36	$42.59
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $64.52 / $121.74	Professional		$48.34	$64.52	$121.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $25.26 / $41.68	Professional	26	$15.83	$25.26	$41.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $30.15 / $105.24	Professional	TC	$22.92	$30.15	$105.24