Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $26.41 / $48.22	Professional		$22.83	$26.41	$48.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $21.84 / $48.96	Professional	26	$17.16	$21.84	$48.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $6.54 / $15.05	Professional	TC	$5.62	$6.54	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $19.32 / $63.83	Professional	26	$19.32	$19.32	$63.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $48.49	Professional		$12.53	$12.53	$48.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $9.36 / $36.96	Professional	26	$9.36	$9.36	$36.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $3.17 / $11.53	Professional	TC	$3.17	$3.17	$11.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $15.36 / $28.45	Facility	26	$14.45	$15.36	$28.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.01 / $46.68	Professional		$14.23	$15.01	$46.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.48 / $36.95	Professional	26	$10.60	$11.48	$36.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $4.16 / $13.64	Professional	TC	$3.63	$4.16	$13.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $30.47 / $48.46	Professional		$6.89	$30.47	$48.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $21.35 / $33.95	Professional	26	$5.01	$21.35	$33.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.88 / $9.11 / $14.51	Professional	TC	$1.88	$9.11	$14.51
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $18.64 / $48.51	Professional		$17.84	$18.64	$48.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $13.96 / $36.96	Professional	26	$13.33	$13.96	$36.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $4.51 / $11.55	Professional	TC	$4.32	$4.51	$11.55