Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $29.10 / $34.92	Facility	26	$27.34	$29.10	$34.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $109.28 / $623.00	Professional		$98.26	$109.28	$623.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $29.61 / $129.96	Professional	26	$26.35	$29.61	$129.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $78.81 / $145.38	Professional	TC	$71.89	$78.81	$145.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $81.83 / $155.47	Professional		$78.70	$81.83	$155.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $21.13 / $21.13	Professional	26	$21.13	$21.13	$21.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $117.20 / $196.87	Professional		$99.37	$117.20	$196.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $31.31 / $51.34	Professional	26	$26.98	$31.31	$51.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.39 / $85.90 / $145.52	Professional	TC	$72.39	$85.90	$145.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $127.40 / $199.46	Professional		$86.89	$127.40	$199.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $35.24 / $54.01	Professional	26	$23.75	$35.24	$54.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.14 / $92.16 / $146.13	Professional	TC	$63.14	$92.16	$146.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $135.25 / $197.24	Professional		$0.68	$135.25	$197.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $33.24 / $48.79	Professional	26	$0.23	$33.24	$48.79
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $92.19 / $139.96	Professional	TC	$0.45	$92.19	$139.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $102.29 / $169.07	Professional		$0.68	$102.29	$169.07
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $28.90 / $43.35	Professional	26	$0.23	$28.90	$43.35
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.45 / $83.81 / $125.72	Professional	TC	$0.45	$83.81	$125.72
United Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $109.71 / $193.56	Professional		$86.39	$109.71	$193.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $30.33 / $55.68	Professional	26	$24.26	$30.33	$55.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.24 / $79.39 / $138.59	Professional	TC	$62.24	$79.39	$138.59