Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $51.29	Facility	26	$42.66	$42.66	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $309.03	Professional		$61.66	$89.13	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $186.21	Professional	26	$38.02	$48.98	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $74.13	Professional	TC	$22.91	$38.90	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $181.97	Professional		$61.66	$74.13	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $147.91	Professional		$58.88	$79.43	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $46.77 / $77.62	Professional	26	$28.84	$46.77	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $72.44	Professional	TC	$20.89	$34.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $144.54	Professional		$60.26	$85.11	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $77.62	Professional	26	$38.02	$50.12	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.88 / $72.44	Professional	TC	$19.95	$33.88	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $63.10 / $123.03	Professional		$0.58	$63.10	$123.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $39.81 / $66.07	Professional	26	$0.38	$39.81	$66.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $21.88 / $60.26	Professional	TC	$0.20	$21.88	$60.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $0.58 / $117.49	Professional		$0.58	$0.58	$117.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $0.38 / $60.26	Professional	26	$0.38	$0.38	$60.26
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.20 / $0.20 / $57.54	Professional	TC	$0.20	$0.20	$57.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $109.65	Professional		$75.86	$77.62	$109.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $57.54	Professional	26	$38.90	$39.81	$57.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $38.02 / $51.29	Professional	TC	$34.67	$38.02	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $141.25	Professional		$63.10	$87.10	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $85.11	Professional	26	$38.90	$54.95	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.11 / $63.10	Professional	TC	$23.44	$33.11	$63.10