Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.43 / $24.43 / $25.72	Facility	26	$21.43	$24.43	$25.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $46.77 / $97.47	Professional		$38.25	$46.77	$97.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $21.44 / $93.00	Professional	26	$18.80	$21.44	$93.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $21.68 / $61.17	Professional	TC	$17.01	$21.68	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $101.29	Professional		$101.29	$101.29	$101.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $41.53 / $82.83	Professional		$35.11	$41.53	$82.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $23.33 / $34.78	Professional	26	$17.34	$23.33	$34.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $17.73 / $53.62	Professional	TC	$15.46	$17.73	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $50.83 / $93.48	Professional		$34.33	$50.83	$93.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.61 / $24.44 / $36.43	Professional	26	$18.61	$24.44	$36.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $24.79 / $60.26	Professional	TC	$15.60	$24.79	$60.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $55.37 / $100.00	Professional		$0.35	$55.37	$100.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $20.99 / $33.38	Professional	26	$0.20	$20.99	$33.38
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $35.38 / $59.08	Professional	TC	$0.15	$35.38	$59.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $53.59 / $83.06	Professional		$0.35	$53.59	$83.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $19.98 / $29.99	Professional	26	$0.20	$19.98	$29.99
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.15 / $35.38 / $53.07	Professional	TC	$0.15	$35.38	$53.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $55.95 / $95.06	Professional		$39.52	$55.95	$95.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.37 / $27.00 / $41.22	Professional	26	$19.37	$27.00	$41.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $27.69 / $53.72	Professional	TC	$18.63	$27.69	$53.72