Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.53 / $21.12 / $22.24	Facility	26	$18.53	$21.12	$22.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $44.49 / $86.19	Professional		$36.57	$44.49	$86.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $21.35 / $36.64	Professional	26	$16.66	$21.35	$36.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $19.25 / $53.05	Professional	TC	$15.33	$19.25	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $87.85 / $87.85	Professional		$87.85	$87.85	$87.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $47.60 / $75.69	Professional		$37.52	$47.60	$75.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.06 / $22.70 / $35.10	Professional	26	$15.06	$22.70	$35.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.95 / $24.34 / $47.40	Professional	TC	$14.95	$24.34	$47.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $45.36 / $82.01	Professional		$33.04	$45.36	$82.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $22.20 / $33.54	Professional	26	$17.26	$22.20	$33.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $22.27 / $53.29	Professional	TC	$14.31	$22.27	$53.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $48.02 / $95.04	Professional		$0.33	$48.02	$95.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $19.05 / $29.96	Professional	26	$0.20	$19.05	$29.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $30.70 / $51.27	Professional	TC	$0.13	$30.70	$51.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $46.48 / $72.03	Professional		$0.33	$46.48	$72.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $17.32 / $25.98	Professional	26	$0.20	$17.32	$25.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.13 / $30.70 / $46.05	Professional	TC	$0.13	$30.70	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $50.49 / $82.80	Professional		$34.32	$50.49	$82.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $26.05 / $38.99	Professional	26	$17.48	$26.05	$38.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $24.15 / $46.93	Professional	TC	$15.17	$24.15	$46.93