Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $60.26	Professional		$28.84	$53.70	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.76 / $24.55	Professional	26	$5.37	$6.76	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $47.86 / $63.10	Professional	TC	$18.20	$47.86	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $97.72	Professional		$16.22	$20.42	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $3.31 / $20.42	Professional	26	$3.24	$3.31	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $31.62	Professional		$16.98	$22.39	$31.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $3.39 / $14.79	Professional	26	$3.02	$3.39	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.95 / $19.95	Professional	TC	$13.49	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $41.69	Facility		$20.89	$22.39	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.57 / $4.90 / $9.12	Facility	26	$4.57	$4.90	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.51 / $54.95	Professional		$16.22	$29.51	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $3.98 / $10.47	Professional	26	$3.24	$3.98	$10.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $26.30 / $44.67	Professional	TC	$12.88	$26.30	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $42.66 / $53.70	Professional		$7.41	$42.66	$53.70
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.58 / $8.71 / $10.72	Professional	26	$1.58	$8.71	$10.72
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $33.88 / $42.66	Professional	TC	$5.75	$33.88	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $53.70	Professional		$30.20	$32.36	$53.70
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $6.61 / $11.48	Professional	26	$6.31	$6.61	$11.48
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.70 / $42.66	Professional	TC	$23.44	$25.70	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $15.49 / $60.26	Facility		$3.80	$15.49	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $56.23	Professional		$18.20	$29.51	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $4.37 / $18.62	Professional	26	$3.89	$4.37	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $23.99 / $42.66	Professional	TC	$14.45	$23.99	$42.66