Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.40 / $17.55 / $18.48	Facility	26	$15.40	$17.55	$18.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $32.36 / $74.34	Professional		$26.23	$32.36	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $15.38 / $29.70	Professional	26	$13.14	$15.38	$29.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $14.97 / $51.90	Professional	TC	$12.47	$14.97	$51.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $81.12 / $81.12	Professional		$81.12	$81.12	$81.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $32.46 / $71.56	Professional		$26.75	$32.46	$71.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.52 / $24.01	Professional	26	$12.50	$15.52	$24.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.70 / $15.04 / $46.92	Professional	TC	$11.70	$15.04	$46.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $37.65 / $76.63	Professional		$23.21	$37.65	$76.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $16.39 / $25.41	Professional	26	$12.40	$16.39	$25.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.58 / $18.41 / $52.76	Professional	TC	$10.58	$18.41	$52.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $44.35 / $83.82	Professional		$0.20	$44.35	$83.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $15.03 / $23.92	Professional	26	$0.13	$15.03	$23.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.08 / $30.03 / $50.15	Professional	TC	$0.08	$30.03	$50.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $44.35 / $66.53	Professional		$0.20	$44.35	$66.53
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $14.31 / $21.47	Professional	26	$0.13	$14.31	$21.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.08 / $30.03 / $45.05	Professional	TC	$0.08	$30.03	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $41.04 / $72.00	Professional		$25.84	$41.04	$72.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $18.48 / $29.93	Professional	26	$13.76	$18.48	$29.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.58 / $24.50 / $46.98	Professional	TC	$12.58	$24.50	$46.98