Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $26.30	Facility	26	$20.89	$20.89	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $102.33	Professional		$30.20	$53.70	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $51.29	Professional	26	$18.20	$21.88	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $33.11 / $63.10	Professional	TC	$10.00	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Professional		$53.70	$53.70	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $21.88	Professional	26	$19.50	$19.50	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $95.50	Professional		$30.90	$53.70	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $38.90	Professional	26	$17.78	$22.91	$38.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $29.51 / $60.26	Professional	TC	$9.55	$29.51	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $97.72	Professional		$28.18	$48.98	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $38.02	Professional	26	$17.78	$24.55	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $19.05 / $60.26	Professional	TC	$9.33	$19.05	$60.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $31.62 / $83.18	Professional		$0.25	$31.62	$83.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $19.95 / $33.11	Professional	26	$0.15	$19.95	$33.11
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $10.47 / $50.12	Professional	TC	$0.10	$10.47	$50.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $79.43	Professional		$0.25	$0.25	$79.43
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.15 / $0.15 / $30.20	Professional	26	$0.15	$0.15	$30.20
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $0.10 / $47.86	Professional	TC	$0.10	$0.10	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $72.44	Professional		$48.98	$52.48	$72.44
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $20.42 / $28.84	Professional	26	$19.50	$20.42	$28.84
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $32.36 / $42.66	Professional	TC	$29.51	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $89.13	Professional		$31.62	$46.77	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $42.66	Professional	26	$19.05	$26.92	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $22.91 / $51.29	Professional	TC	$10.72	$22.91	$51.29