Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $29.44 / $35.33	Facility	26	$27.34	$29.44	$35.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $60.97 / $285.00	Professional		$52.94	$60.97	$285.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $44.08 / $159.00	Professional	26	$27.67	$44.08	$159.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $56.80 / $220.80 / $299.00	Professional	52	$56.80	$220.80	$299.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $29.02 / $142.41	Professional	TC	$23.50	$29.02	$142.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $40.51 / $76.95	Professional		$39.53	$40.51	$76.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.87 / $41.56 / $59.57	Professional	26	$21.87	$41.56	$59.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $24.25 / $24.25 / $34.59	Professional	52	$24.25	$24.25	$34.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $59.00 / $74.69	Professional		$49.53	$59.00	$74.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.30 / $31.99 / $41.17	Professional	26	$27.30	$31.99	$41.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $27.15 / $36.40	Professional	TC	$22.22	$27.15	$36.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $67.15 / $98.24	Professional		$44.45	$67.15	$98.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $36.34 / $54.63	Professional	26	$23.68	$36.34	$54.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $30.80 / $43.60	Professional	TC	$20.45	$30.80	$43.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $66.69 / $86.61	Professional		$50.63	$66.69	$86.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $37.06 / $46.03	Professional	26	$26.18	$37.06	$46.03
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $32.04 / $39.65	Professional	TC	$22.55	$32.04	$39.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $76.95 / $76.95	Professional		$51.30	$76.95	$76.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $41.34 / $41.34	Professional	26	$27.56	$41.34	$41.34
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $35.61 / $35.61	Professional	TC	$23.74	$35.61	$35.61
United Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $61.53 / $103.49	Professional		$44.62	$61.53	$103.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $33.75 / $56.34	Professional	26	$24.15	$33.75	$56.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $27.78 / $45.97	Professional	TC	$20.47	$27.78	$45.97