Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $42.41 / $88.31	Professional		$34.84	$42.41	$88.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $29.77 / $178.60	Professional	26	$23.93	$29.77	$178.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $13.90 / $28.80	Professional	TC	$10.11	$13.90	$28.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $54.32 / $54.32	Professional		$54.32	$54.32	$54.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $14.37 / $30.87	Professional	26	$14.37	$14.37	$30.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $88.88	Professional		$21.74	$21.74	$88.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $13.10 / $51.97	Professional	26	$13.10	$13.10	$51.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $8.64 / $36.90	Professional	TC	$8.64	$8.64	$36.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $38.52 / $71.34	Facility		$36.22	$38.52	$71.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.41 / $21.70 / $40.19	Facility	26	$20.41	$21.70	$40.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $27.68 / $91.32	Professional		$21.08	$27.68	$91.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.74 / $15.34 / $51.97	Professional	26	$14.74	$15.34	$51.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.15 / $12.35 / $42.06	Professional	TC	$6.15	$12.35	$42.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $56.03 / $89.11	Professional		$10.13	$56.03	$89.11
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $30.46 / $48.45	Professional	26	$6.96	$30.46	$48.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.18 / $25.57 / $40.65	Professional	TC	$3.18	$25.57	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $33.46 / $112.24	Professional		$24.51	$33.46	$112.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $19.50 / $51.97	Professional	26	$17.28	$19.50	$51.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.94 / $13.86 / $51.32	Professional	TC	$6.94	$13.86	$51.32