Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.51 / $13.37 / $16.04	Facility	26	$12.51	$13.37	$16.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $50.43 / $225.00	Professional		$38.74	$50.43	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.75 / $61.10	Professional	26	$12.59	$14.75	$61.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.07 / $23.43 / $126.95	Professional	52	$21.07	$23.43	$126.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $32.34 / $60.72	Professional	TC	$22.26	$32.34	$60.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $42.98	Professional		$35.07	$35.07	$42.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $40.89 / $54.82	Professional		$38.36	$40.89	$54.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.92 / $18.11	Professional	26	$11.07	$14.92	$18.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $29.49 / $39.53	Professional	TC	$24.65	$29.49	$39.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $48.39 / $84.83	Professional		$33.22	$48.39	$84.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $16.29 / $24.81	Professional	26	$11.03	$16.29	$24.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $32.46 / $55.38	Professional	TC	$21.08	$32.46	$55.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $53.25 / $77.31	Professional		$0.34	$53.25	$77.31
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $16.70 / $21.58	Professional	26	$0.14	$16.70	$21.58
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $36.72 / $53.41	Professional	TC	$0.21	$36.72	$53.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $43.84 / $69.45	Professional		$0.34	$43.84	$69.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $12.92 / $19.38	Professional	26	$0.14	$12.92	$19.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.21 / $33.38 / $50.07	Professional	TC	$0.21	$33.38	$50.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $44.75 / $77.75	Professional		$33.95	$44.75	$77.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $14.08 / $26.51	Professional	26	$10.95	$14.08	$26.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $30.68 / $57.81	Professional	TC	$21.48	$30.68	$57.81