Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $19.62 / $33.08	Professional		$12.80	$19.62	$33.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $12.92 / $33.27	Professional	26	$9.84	$12.92	$33.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.28 / $7.59 / $14.24	Professional	TC	$5.28	$7.59	$14.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $20.14 / $58.89	Professional		$12.19	$20.14	$58.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $6.99 / $36.29	Professional	26	$5.80	$6.99	$36.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.73 / $7.73 / $7.73	Professional	TC	$7.73	$7.73	$7.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $35.20	Professional		$9.07	$9.07	$35.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.33 / $5.33 / $20.79	Professional	26	$5.33	$5.33	$20.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.74 / $3.74 / $14.41	Professional	TC	$3.74	$3.74	$14.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $14.87 / $27.55	Facility		$13.99	$14.87	$27.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $8.77 / $16.25	Facility	26	$8.25	$8.77	$16.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.74 / $6.10 / $11.28	Facility	TC	$5.74	$6.10	$11.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $10.70 / $33.21	Professional		$9.91	$10.70	$33.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.01 / $6.31 / $20.79	Professional	26	$6.01	$6.31	$20.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.81 / $4.38 / $13.84	Professional	TC	$3.81	$4.38	$13.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $20.59 / $32.75	Professional		$4.78	$20.59	$32.75
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $11.87 / $18.87	Professional	26	$2.83	$11.87	$18.87
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.96 / $8.72 / $13.86	Professional	TC	$1.96	$8.72	$13.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $13.21 / $27.52	Professional		$11.44	$13.21	$27.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $7.95 / $20.79	Professional	26	$7.15	$7.95	$20.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.29 / $5.41 / $14.43	Professional	TC	$4.29	$5.41	$14.43