Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $154.88	Professional		$33.11	$50.12	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $41.69	Professional	26	$18.20	$25.12	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $102.33	Professional	TC	$15.14	$19.05	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Professional		$35.48	$35.48	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $104.71	Professional		$32.36	$57.54	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.90 / $41.69	Professional	26	$18.20	$30.90	$41.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $47.86 / $66.07	Professional	50	$36.31	$47.86	$66.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $26.30 / $70.79	Professional	TC	$14.79	$26.30	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $177.83	Professional		$38.90	$75.86	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.88 / $52.48	Professional	26	$20.89	$33.88	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $31.62 / $123.03	Professional	TC	$16.98	$31.62	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $46.77 / $63.10	Professional		$1.48	$46.77	$63.10
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $25.12 / $33.88	Professional	26	$0.65	$25.12	$33.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $21.88 / $29.51	Professional	TC	$0.81	$21.88	$29.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $58.88	Professional		$1.48	$1.48	$58.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $0.65 / $31.62	Professional	26	$0.65	$0.65	$31.62
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.81 / $0.81 / $27.54	Professional	TC	$0.81	$0.81	$27.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $38.90	Professional		$37.15	$38.90	$38.90
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.89 / $20.89	Professional	26	$20.42	$20.89	$20.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $18.20 / $18.20	Professional	TC	$16.98	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $158.49	Professional		$37.15	$61.66	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $45.71	Professional	26	$20.42	$30.20	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.30 / $120.23	Professional	TC	$15.49	$26.30	$120.23