Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $49.07 / $92.32	Professional		$43.20	$49.07	$92.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $32.60 / $80.26	Professional	26	$27.17	$32.60	$80.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $21.35 / $37.99	Professional	TC	$15.48	$21.35	$37.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $35.78 / $104.03	Professional	26	$16.63	$35.78	$104.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $23.62 / $91.20	Professional		$23.62	$23.62	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $60.05	Professional	26	$15.26	$15.26	$60.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.35 / $8.35 / $31.13	Professional	TC	$8.35	$8.35	$31.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.62 / $25.11 / $46.50	Facility	26	$23.62	$25.11	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.74 / $89.17	Professional		$27.29	$27.74	$89.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.95 / $17.77 / $60.06	Professional	26	$16.95	$17.77	$60.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $11.11 / $35.14	Professional	TC	$9.92	$11.11	$35.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $57.08 / $90.78	Professional		$12.76	$57.08	$90.78
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $34.67 / $55.14	Professional	26	$8.13	$34.67	$55.14
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.63 / $22.41 / $35.64	Professional	TC	$4.63	$22.41	$35.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $34.79 / $91.23	Professional		$31.66	$34.79	$91.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $22.61 / $60.05	Professional	26	$20.22	$22.61	$60.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.44 / $15.26 / $31.18	Professional	TC	$11.44	$15.26	$31.18