Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.99 / $43.31 / $45.59	Facility	26	$37.99	$43.31	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $71.98 / $120.91	Professional		$62.44	$71.98	$120.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $44.39 / $69.00	Professional	26	$33.97	$44.39	$69.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $25.84 / $61.17	Professional	TC	$21.05	$25.84	$61.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $29.02 / $29.02	Professional	26	$29.02	$29.02	$29.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $68.81 / $112.57	Professional		$49.61	$68.81	$112.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.70 / $46.69 / $62.79	Professional	26	$30.70	$46.69	$62.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $21.54 / $54.10	Professional	TC	$15.46	$21.54	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $72.56 / $119.69	Professional		$56.07	$72.56	$119.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.13 / $44.14 / $68.27	Professional	26	$35.13	$44.14	$68.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $28.14 / $60.80	Professional	TC	$18.42	$28.14	$60.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $73.09 / $119.82	Professional		$0.53	$73.09	$119.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $40.64 / $59.51	Professional	26	$0.35	$40.64	$59.51
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $35.72 / $59.65	Professional	TC	$0.18	$35.72	$59.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $68.37 / $106.46	Professional		$0.53	$68.37	$106.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $35.25 / $52.88	Professional	26	$0.35	$35.25	$52.88
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.18 / $35.72 / $53.58	Professional	TC	$0.18	$35.72	$53.58
United Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $78.54 / $125.53	Professional		$50.10	$78.54	$125.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $50.45 / $74.45	Professional	26	$35.15	$50.45	$74.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $31.20 / $56.06	Professional	TC	$22.29	$31.20	$56.06