Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $258.47 / $1,372.80	Facility		$39.56	$258.47	$1,372.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.84 / $13.71 / $16.45	Facility	26	$12.84	$13.71	$16.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $39.56 / $202.00	Professional		$30.91	$39.56	$202.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.37 / $73.76	Professional	26	$13.00	$14.37	$73.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.94 / $46.85	Professional	TC	$17.89	$23.94	$46.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $10.91 / $27.98	Professional	26	$10.19	$10.91	$27.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $48.14 / $48.14	Facility		$38.51	$48.14	$48.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $37.14 / $43.50	Professional		$29.13	$37.14	$43.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $12.82 / $18.73	Professional	26	$12.70	$12.82	$18.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.01 / $24.44 / $27.64	Professional	TC	$16.01	$24.44	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $40.78 / $69.33	Professional		$28.77	$40.78	$69.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $17.97 / $25.45	Professional	26	$12.34	$17.97	$25.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $23.39 / $44.10	Professional	TC	$17.32	$23.39	$44.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $46.25 / $70.39	Professional		$0.16	$46.25	$70.39
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $15.81 / $23.68	Professional	26	$0.09	$15.81	$23.68
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.07 / $28.88 / $45.06	Professional	TC	$0.07	$28.88	$45.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $40.22 / $60.33	Professional		$0.16	$40.22	$60.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.09 / $13.53 / $20.30	Professional	26	$0.09	$13.53	$20.30
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.07 / $26.69 / $40.04	Professional	TC	$0.07	$26.69	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $37.17 / $60.77	Professional		$26.71	$37.17	$60.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $14.80 / $24.42	Professional	26	$11.08	$14.80	$24.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $22.37 / $35.02	Professional	TC	$15.80	$22.37	$35.02