Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $41.64 / $81.70	Professional		$27.44	$41.64	$81.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $11.78 / $38.19	Professional	26	$8.57	$11.78	$38.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $42.98 / $58.75	Professional	TC	$21.56	$42.98	$58.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $41.11 / $165.20	Professional		$20.92	$41.11	$165.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.31 / $5.46 / $11.37	Professional	26	$5.31	$5.46	$11.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $19.18 / $29.74	Professional	TC	$19.18	$19.18	$29.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.78 / $66.92	Professional		$21.88	$24.78	$66.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $4.90 / $19.05	Professional	26	$4.90	$4.90	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.28 / $20.42 / $47.87	Professional	TC	$16.28	$20.42	$47.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $29.50 / $54.64	Facility		$27.75	$29.50	$54.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $8.05 / $14.90	Facility	26	$7.57	$8.05	$14.90
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.18 / $21.45 / $39.72	Facility	TC	$20.18	$21.45	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $32.61 / $70.84	Professional		$21.25	$32.61	$70.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.47 / $5.79 / $19.05	Professional	26	$5.47	$5.79	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $27.04 / $53.13	Professional	TC	$15.46	$27.04	$53.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $43.05 / $68.47	Professional		$10.54	$43.05	$68.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.59 / $10.82 / $17.20	Professional	26	$2.59	$10.82	$17.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.96 / $32.24 / $51.27	Professional	TC	$7.96	$32.24	$51.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.17 / $85.27	Professional		$25.12	$37.17	$85.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $7.19 / $30.37	Professional	26	$6.53	$7.19	$30.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $29.95 / $52.47	Professional	TC	$17.97	$29.95	$52.47