Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $51.68 / $71.23	Professional		$38.97	$51.68	$71.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $20.71 / $25.03	Professional	26	$16.50	$20.71	$25.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.02 / $51.24	Professional	TC	$21.38	$29.02	$51.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $42.02	Professional		$42.02	$42.02	$42.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.43 / $65.11	Professional		$35.09	$45.43	$65.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $21.14 / $27.21	Professional	26	$15.87	$21.14	$27.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $25.20 / $40.57	Professional	TC	$19.21	$25.20	$40.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $56.20 / $85.28	Professional		$40.00	$56.20	$85.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $22.21 / $30.00	Professional	26	$17.79	$22.21	$30.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $35.36 / $53.00	Professional	TC	$22.23	$35.36	$53.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $56.82 / $82.86	Professional		$0.81	$56.82	$82.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $24.40 / $35.58	Professional	26	$0.38	$24.40	$35.58
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.44 / $32.44 / $47.30	Professional	TC	$0.44	$32.44	$47.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $62.16 / $91.04	Professional		$41.11	$62.16	$91.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $22.19 / $37.81	Professional	26	$18.71	$22.19	$37.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $39.58 / $53.19	Professional	TC	$22.40	$39.58	$53.19