Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.75 / $16.73 / $20.09	Facility	26	$15.75	$16.73	$20.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $47.95 / $213.00	Professional		$37.59	$47.95	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $17.05 / $85.94	Professional	26	$14.08	$17.05	$85.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $30.90 / $56.30	Professional	TC	$23.51	$30.90	$56.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.41 / $24.41 / $28.84	Professional	26	$24.41	$24.41	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $44.45 / $56.67	Professional		$39.95	$44.45	$56.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $17.25 / $20.93	Professional	26	$13.72	$17.25	$20.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $27.97 / $37.49	Professional	TC	$25.86	$27.97	$37.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $55.07 / $87.97	Professional		$35.76	$55.07	$87.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $18.98 / $31.06	Professional	26	$13.42	$18.98	$31.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $37.59 / $56.90	Professional	TC	$21.94	$37.59	$56.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $54.50 / $78.98	Professional		$0.44	$54.50	$78.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $20.32 / $26.02	Professional	26	$0.15	$20.32	$26.02
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.28 / $35.70 / $49.66	Professional	TC	$0.28	$35.70	$49.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $44.81 / $70.95	Professional		$0.44	$44.81	$70.95
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $16.26 / $24.39	Professional	26	$0.15	$16.26	$24.39
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.28 / $31.04 / $46.56	Professional	TC	$0.28	$31.04	$46.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $46.56 / $84.74	Professional		$36.38	$46.56	$84.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $17.68 / $30.87	Professional	26	$11.91	$17.68	$30.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $28.88 / $53.43	Professional	TC	$23.06	$28.88	$53.43