Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $14.60 / $17.52	Facility	26	$13.54	$14.60	$17.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $58.64 / $302.00	Professional		$50.97	$58.64	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $15.46 / $81.00	Professional	26	$13.50	$15.46	$81.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $41.17 / $220.00	Professional	TC	$36.36	$41.17	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $79.42 / $79.42	Professional		$51.22	$79.42	$79.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $10.82 / $10.82	Professional	26	$10.82	$10.82	$10.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $55.21 / $102.42	Professional		$47.94	$55.21	$102.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $15.37 / $25.39	Professional	26	$13.26	$15.37	$25.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $40.90 / $77.03	Professional	TC	$34.29	$40.90	$77.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $66.81 / $94.59	Professional		$43.28	$66.81	$94.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $18.28 / $27.07	Professional	26	$11.96	$18.28	$27.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.99 / $47.83 / $67.48	Professional	TC	$32.99	$47.83	$67.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $70.59 / $91.18	Professional		$1.04	$70.59	$91.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $17.98 / $23.46	Professional	26	$0.18	$17.98	$23.46
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.86 / $50.43 / $67.37	Professional	TC	$0.86	$50.43	$67.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $52.25 / $81.90	Professional		$1.04	$52.25	$81.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $14.25 / $21.38	Professional	26	$0.18	$14.25	$21.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.86 / $40.34 / $60.51	Professional	TC	$0.86	$40.34	$60.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $52.50 / $100.14	Professional		$39.51	$52.50	$100.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $13.56 / $27.59	Professional	26	$11.07	$13.56	$27.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $37.47 / $72.09	Professional	TC	$28.44	$37.47	$72.09