Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $54.95	Facility	26	$44.67	$44.67	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $234.42	Professional		$58.88	$67.61	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $229.09	Professional	26	$39.81	$47.86	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $19.95 / $33.88	Professional	TC	$17.38	$19.95	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $120.23	Professional		$60.26	$60.26	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $85.11	Professional	26	$42.66	$42.66	$85.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $17.38 / $36.31	Professional	TC	$17.38	$17.38	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $128.82	Professional		$57.54	$75.86	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $89.13	Professional	26	$39.81	$53.70	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $37.15	Professional	TC	$17.78	$22.91	$37.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $77.62 / $109.65	Professional		$0.56	$77.62	$109.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $54.95 / $75.86	Professional	26	$0.44	$54.95	$75.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $33.88	Professional	TC	$15.14	$25.12	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $97.72	Professional		$0.56	$0.56	$97.72
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $0.44 / $69.18	Professional	26	$0.44	$0.44	$69.18
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $30.20	Professional	TC	$28.84	$28.84	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $64.57	Professional		$63.10	$64.57	$64.57
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $45.71 / $45.71	Professional	26	$44.67	$45.71	$45.71
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $19.50 / $19.50	Professional	TC	$18.62	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $123.03	Professional		$53.70	$81.28	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $56.23 / $87.10	Professional	26	$30.90	$56.23	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.99 / $36.31	Professional	TC	$15.14	$23.99	$36.31