Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $25.70	Professional		$13.80	$18.20	$25.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $33.88	Professional	26	$8.91	$12.88	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.08 / $12.88	Professional	TC	$5.25	$7.08	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $5.75 / $36.31	Professional	26	$5.62	$5.75	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.23 / $20.89	Professional		$9.12	$10.23	$20.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.89 / $15.85	Professional	26	$5.37	$5.89	$15.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $4.37 / $5.13	Professional	TC	$3.72	$4.37	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $27.54	Facility		$14.13	$14.79	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $8.71 / $16.22	Facility	26	$8.32	$8.71	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.75 / $6.17 / $11.22	Facility	TC	$5.75	$6.17	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $33.11	Professional		$9.77	$12.02	$33.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.24 / $19.50	Professional	26	$5.75	$7.24	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $4.57 / $13.80	Professional	TC	$3.80	$4.57	$13.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $25.70 / $31.62	Professional		$4.79	$25.70	$31.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $14.79 / $18.62	Professional	26	$2.82	$14.79	$18.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.95 / $10.72 / $13.49	Professional	TC	$1.95	$10.72	$13.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $33.88	Professional		$18.62	$19.50	$33.88
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $20.89	Professional	26	$10.96	$11.22	$20.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $8.32 / $13.18	Professional	TC	$7.59	$8.32	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.32 / $14.13	Facility		$4.68	$8.32	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $27.54	Professional		$11.48	$13.18	$27.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $7.76 / $20.89	Professional	26	$6.92	$7.76	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $5.37 / $14.45	Professional	TC	$4.27	$5.37	$14.45