Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.18 / $20.73 / $21.82	Facility	26	$18.18	$20.73	$21.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $68.20 / $226.00	Professional		$53.25	$68.20	$226.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $20.73 / $79.41	Professional	26	$17.51	$20.73	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $45.64 / $136.00	Professional	TC	$30.25	$45.64	$136.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $14.25 / $19.18	Professional	26	$14.25	$14.25	$19.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $88.29 / $121.28	Professional		$50.93	$88.29	$121.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $25.87 / $36.38	Professional	26	$17.30	$25.87	$36.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $62.14 / $91.29	Professional	TC	$34.40	$62.14	$91.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $75.83 / $119.64	Professional		$50.27	$75.83	$119.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $24.51 / $34.07	Professional	26	$17.26	$24.51	$34.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $53.64 / $89.18	Professional	TC	$32.65	$53.64	$89.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $59.06 / $92.45	Professional		$1.12	$59.06	$92.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $20.23 / $29.24	Professional	26	$0.25	$20.23	$29.24
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.88 / $37.46 / $59.59	Professional	TC	$0.88	$37.46	$59.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $51.36 / $77.04	Professional		$1.12	$51.36	$77.04
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $17.32 / $25.98	Professional	26	$0.25	$17.32	$25.98
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.88 / $34.04 / $51.08	Professional	TC	$0.88	$34.04	$51.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $81.55 / $120.84	Professional		$51.17	$81.55	$120.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $23.82 / $35.36	Professional	26	$17.16	$23.82	$35.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $52.86 / $96.18	Professional	TC	$32.67	$52.86	$96.18