Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.14 / $25.53 / $31.50	Facility	26	$23.14	$25.53	$31.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $66.73 / $227.00	Professional		$26.36	$66.73	$227.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $36.40 / $134.36	Professional	26	$18.21	$36.40	$134.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $32.61 / $86.32	Professional	TC	$9.18	$32.61	$86.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $49.74 / $94.51	Professional		$48.70	$49.74	$94.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $48.83 / $68.64	Professional	26	$25.20	$48.83	$68.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.02 / $58.71	Professional		$25.70	$53.02	$58.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $21.59 / $24.81	Professional	26	$16.73	$21.59	$24.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.46 / $81.58 / $92.71	Professional	50	$51.46	$81.58	$92.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.96 / $31.43 / $34.65	Professional	TC	$8.96	$31.43	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $49.70 / $99.01	Professional		$28.85	$49.70	$99.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $27.79 / $48.12	Professional	26	$19.57	$27.79	$48.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $22.11 / $56.73	Professional	TC	$9.27	$22.11	$56.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $49.64 / $107.87	Professional		$26.10	$49.64	$107.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $37.33 / $54.44	Professional	26	$17.10	$37.33	$54.44
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.00 / $37.33 / $54.44	Professional	TC	$9.00	$37.33	$54.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $46.67 / $95.84	Professional		$0.26	$46.67	$95.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.17 / $31.11 / $47.78	Professional	26	$0.17	$31.11	$47.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.09 / $31.11 / $48.06	Professional	TC	$0.09	$31.11	$48.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $55.76 / $79.69	Professional		$32.72	$55.76	$79.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $24.90 / $38.75	Professional	26	$16.77	$24.90	$38.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.89 / $28.63 / $41.39	Professional	TC	$10.89	$28.63	$41.39