Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.19 / $23.81 / $28.57	Facility	26	$23.19	$23.81	$28.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $70.65 / $266.00	Professional		$38.36	$70.65	$266.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $26.09 / $132.00	Professional	26	$23.48	$26.09	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.55 / $53.40 / $136.94	Professional	TC	$14.55	$53.40	$136.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Professional		$32.39	$32.39	$32.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $18.48 / $18.48	Professional	26	$18.48	$18.48	$18.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $69.68 / $82.52	Professional		$35.86	$69.68	$82.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $29.03 / $35.22	Professional	26	$22.22	$29.03	$35.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.65 / $39.36 / $53.49	Professional	TC	$13.65	$39.36	$53.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $77.29 / $118.70	Professional		$43.50	$77.29	$118.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $32.90 / $46.38	Professional	26	$21.76	$32.90	$46.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $43.83 / $77.95	Professional	TC	$16.50	$43.83	$77.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $62.64 / $105.15	Professional		$0.59	$62.64	$105.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $28.93 / $41.91	Professional	26	$0.28	$28.93	$41.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.61 / $25.16 / $59.40	Professional	TC	$0.61	$25.16	$59.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $39.63 / $61.41	Professional		$0.59	$39.63	$61.41
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $23.95 / $35.93	Professional	26	$0.28	$23.95	$35.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.31 / $25.50 / $26.28	Professional	TC	$0.31	$25.50	$26.28
United Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $80.28 / $104.73	Professional		$53.60	$80.28	$104.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $32.22 / $48.28	Professional	26	$23.73	$32.22	$48.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $43.54 / $68.93	Professional	TC	$23.82	$43.54	$68.93