Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $28.84	Facility	26	$22.91	$22.91	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $162.18	Professional		$36.31	$63.10	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $27.54 / $97.72	Professional	26	$22.91	$27.54	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $23.99 / $102.33	Professional	TC	$14.13	$23.99	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $30.90	Professional		$27.54	$30.20	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.05 / $22.91	Professional	26	$18.62	$19.05	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $83.18	Professional		$35.48	$45.71	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.91 / $44.67	Professional	26	$22.39	$22.91	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $17.38 / $53.70	Professional	TC	$13.80	$17.38	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $125.89	Professional		$45.71	$79.43	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $31.62 / $46.77	Professional	26	$23.44	$31.62	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $52.48 / $77.62	Professional	TC	$18.20	$52.48	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $54.95 / $75.86	Professional		$0.59	$54.95	$75.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $28.84 / $39.81	Professional	26	$0.28	$28.84	$39.81
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.12 / $51.29	Professional	TC	$15.85	$25.12	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $61.66	Professional		$0.59	$0.59	$61.66
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $0.28 / $36.31	Professional	26	$0.28	$0.28	$36.31
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $26.30	Professional	TC	$25.70	$25.70	$26.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Professional		$39.81	$40.74	$40.74
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $16.98 / $16.98	Professional	TC	$16.60	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $104.71	Professional		$47.86	$75.86	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $46.77	Professional	26	$19.50	$30.90	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $70.79	Professional	TC	$23.99	$41.69	$70.79