Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.01 / $9.55 / $11.46	Facility	26	$9.01	$9.55	$11.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $86.79 / $227.10	Professional		$40.65	$86.79	$227.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $10.80 / $50.00	Professional	26	$9.40	$10.80	$50.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $83.00 / $161.00	Professional	TC	$27.64	$83.00	$161.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.45 / $57.87	Professional		$29.29	$30.45	$57.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.94 / $19.63	Professional	26	$7.21	$8.94	$19.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $45.68 / $105.24	Professional		$32.22	$45.68	$105.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $10.93 / $13.83	Professional	26	$7.74	$10.93	$13.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $34.06 / $93.84	Professional	TC	$24.48	$34.06	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $69.02 / $146.58	Professional		$38.34	$69.02	$146.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $12.36 / $17.72	Professional	26	$8.53	$12.36	$17.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.50 / $53.66 / $125.17	Professional	TC	$28.50	$53.66	$125.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $51.13 / $68.83	Professional		$0.87	$51.13	$68.83
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $11.62 / $15.46	Professional	26	$0.12	$11.62	$15.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.76 / $40.54 / $53.61	Professional	TC	$0.76	$40.54	$53.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $38.07 / $59.00	Professional		$0.87	$38.07	$59.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.12 / $9.30 / $13.95	Professional	26	$0.12	$9.30	$13.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.76 / $45.05 / $46.80	Professional	TC	$0.76	$45.05	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $46.74 / $110.44	Professional		$29.24	$46.74	$110.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $8.67 / $18.70	Professional	26	$7.38	$8.67	$18.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $35.94 / $98.55	Professional	TC	$21.86	$35.94	$98.55