Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $18.66 / $22.39	Facility	26	$17.27	$18.66	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $116.53 / $561.16	Professional		$100.16	$116.53	$561.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.43 / $96.17	Professional	26	$16.60	$19.43	$96.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.43 / $98.85 / $148.97	Professional	TC	$81.43	$98.85	$148.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Professional		$72.06	$72.06	$72.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $31.18 / $37.63	Professional	26	$14.27	$31.18	$37.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $97.79 / $126.35	Professional		$67.34	$97.79	$126.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $17.14 / $22.72	Professional	26	$11.63	$17.14	$22.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.71 / $80.64 / $103.62	Professional	TC	$55.71	$80.64	$103.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $107.27 / $187.75	Professional		$72.54	$107.27	$187.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.60 / $21.26 / $34.53	Professional	26	$14.60	$21.26	$34.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.20 / $87.17 / $153.22	Professional	TC	$59.20	$87.17	$153.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $128.27 / $166.98	Professional		$0.40	$128.27	$166.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $20.98 / $29.51	Professional	26	$0.18	$20.98	$29.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.22 / $105.55 / $137.07	Professional	TC	$0.22	$105.55	$137.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $98.67 / $148.01	Professional		$0.40	$98.67	$148.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $17.48 / $26.22	Professional	26	$0.18	$17.48	$26.22
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.22 / $81.19 / $121.79	Professional	TC	$0.22	$81.19	$121.79
United Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $97.80 / $160.44	Professional		$71.62	$97.80	$160.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $19.13 / $31.56	Professional	26	$13.36	$19.13	$31.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.26 / $78.67 / $130.97	Professional	TC	$58.26	$78.67	$130.97