Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $30.09 / $51.52	Professional		$25.09	$30.09	$51.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $23.07 / $30.09	Professional	26	$16.12	$23.07	$30.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $15.05 / $25.76	Professional	52	$12.55	$15.05	$25.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.73 / $32.75	Professional	TC	$2.70	$4.73	$32.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $25.78	Professional		$25.78	$25.78	$25.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $30.79 / $50.13	Professional		$24.44	$30.79	$50.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $23.42 / $33.61	Professional	26	$20.75	$23.42	$33.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.81 / $4.65 / $10.40	Professional	TC	$2.81	$4.65	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $32.96 / $69.00	Professional		$20.58	$32.96	$69.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $21.40 / $33.19	Professional	26	$13.93	$21.40	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $8.72 / $47.46	Professional	TC	$2.63	$8.72	$47.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $33.95 / $70.00	Professional		$0.60	$33.95	$70.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $25.56 / $40.65	Professional	26	$0.20	$25.56	$40.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.40 / $5.54 / $40.00	Professional	TC	$0.40	$5.54	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $43.08 / $67.76	Professional		$25.77	$43.08	$67.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $24.48 / $40.77	Professional	26	$16.30	$24.48	$40.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.59 / $6.25 / $46.27	Professional	TC	$3.59	$6.25	$46.27