Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $54.47 / $64.75	Professional		$25.31	$54.47	$64.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $7.66 / $24.79	Professional	26	$5.53	$7.66	$24.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $48.47 / $62.69	Professional	TC	$19.80	$48.47	$62.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.39 / $31.85	Professional		$16.12	$16.39	$31.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.21 / $3.36 / $20.58	Professional	26	$3.21	$3.36	$20.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $25.02 / $25.02	Professional	TC	$25.02	$25.02	$25.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $22.33 / $50.19	Professional		$16.95	$22.33	$50.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $3.02 / $11.55	Professional	26	$3.02	$3.02	$11.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.57 / $19.73 / $38.63	Professional	TC	$13.57	$19.73	$38.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $22.43 / $41.54	Facility		$21.10	$22.43	$41.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.59 / $4.88 / $9.02	Facility	26	$4.59	$4.88	$9.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.46 / $55.35	Professional		$16.22	$29.46	$55.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.30 / $3.53 / $11.55	Professional	26	$3.30	$3.53	$11.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.69 / $26.14 / $44.83	Professional	TC	$12.69	$26.14	$44.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $34.28 / $54.53	Professional		$7.34	$34.28	$54.53
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.58 / $6.96 / $11.07	Professional	26	$1.58	$6.96	$11.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.77 / $27.32 / $43.45	Professional	TC	$5.77	$27.32	$43.45
United Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $60.00 / $60.00	Facility		$37.01	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.12 / $73.14	Professional		$18.05	$23.12	$73.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $4.34 / $19.39	Professional	26	$3.88	$4.34	$19.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $24.18 / $43.11	Professional	TC	$14.50	$24.18	$43.11