Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $78.62 / $117.93	Professional		$46.00	$78.62	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $27.31 / $52.81	Professional	26	$17.70	$27.31	$52.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.02 / $55.87 / $73.06	Professional	TC	$43.02	$55.87	$73.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $203.49 / $203.49	Professional		$203.49	$203.49	$203.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $10.49 / $64.77	Professional	26	$10.49	$10.49	$64.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $100.97	Professional		$28.32	$28.32	$100.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.50 / $37.54	Professional	26	$9.50	$9.50	$37.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $19.73 / $63.43	Professional	TC	$19.73	$19.73	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.97 / $44.62 / $82.63	Facility		$41.97	$44.62	$82.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.91 / $15.85 / $29.35	Facility	26	$14.91	$15.85	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $37.08 / $111.72	Professional		$32.86	$37.08	$111.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $13.13 / $37.53	Professional	26	$10.94	$13.13	$37.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $26.14 / $77.63	Professional	TC	$21.52	$26.14	$77.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $71.83 / $114.24	Professional		$18.62	$71.83	$114.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $22.04 / $35.04	Professional	26	$5.09	$22.04	$35.04
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.54 / $49.79 / $79.19	Professional	TC	$13.54	$49.79	$79.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $47.29 / $111.04	Professional		$37.90	$47.29	$111.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $15.03 / $59.82	Professional	26	$13.76	$15.03	$59.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $33.52 / $63.52	Professional	TC	$23.82	$33.52	$63.52