Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.87 / $32.22 / $38.68	Facility	26	$31.87	$32.22	$38.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $144.63 / $2,625.00	Professional		$62.40	$144.63	$2,625.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $210.66 / $990.00	Professional	26	$28.73	$210.66	$990.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.59 / $40.02 / $940.00	Professional	TC	$32.59	$40.02	$940.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $52.11 / $65.14	Professional		$52.11	$52.11	$65.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.45 / $69.45 / $69.45	Professional	26	$25.45	$69.45	$69.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $74.34 / $90.22	Professional		$60.64	$74.34	$90.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.16 / $33.27 / $40.36	Professional	26	$30.16	$33.27	$40.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.48 / $41.08 / $49.85	Professional	TC	$30.48	$41.08	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $93.85 / $130.28	Professional		$56.54	$93.85	$130.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $38.06 / $63.74	Professional	26	$25.09	$38.06	$63.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.45 / $51.50 / $66.53	Professional	TC	$31.45	$51.50	$66.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $80.75 / $117.76	Professional		$0.63	$80.75	$117.76
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $39.10 / $57.02	Professional	26	$0.32	$39.10	$57.02
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.63 / $43.32 / $60.76	Professional	TC	$0.63	$43.32	$60.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $65.14 / $100.94	Professional		$0.63	$65.14	$100.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $32.58 / $48.87	Professional	26	$0.32	$32.58	$48.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.32 / $52.08 / $54.15	Professional	TC	$0.32	$52.08	$54.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $85.10 / $127.84	Professional		$67.84	$85.10	$127.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $40.72 / $62.09	Professional	26	$27.23	$40.72	$62.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $42.86 / $64.61	Professional	TC	$34.29	$42.86	$64.61