Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $8.44 / $8.89	Facility	26	$7.41	$8.44	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $31.75 / $143.22	Professional		$26.45	$31.75	$143.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $8.44 / $38.60	Professional	26	$6.59	$8.44	$38.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $22.57 / $34.19	Professional	TC	$16.38	$22.57	$34.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $12.74 / $12.74	Professional	26	$12.74	$12.74	$12.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $39.67 / $60.25	Professional		$25.30	$39.67	$60.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $10.51 / $14.77	Professional	26	$6.99	$10.51	$14.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.51 / $29.16 / $44.29	Professional	TC	$18.51	$29.16	$44.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $38.35 / $65.00	Professional		$24.74	$38.35	$65.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.88 / $13.66	Professional	26	$6.94	$9.88	$13.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $27.55 / $52.05	Professional	TC	$17.73	$27.55	$52.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $29.15 / $45.63	Professional		$0.70	$29.15	$45.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $8.38 / $12.31	Professional	26	$0.10	$8.38	$12.31
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.60 / $20.76 / $31.59	Professional	TC	$0.60	$20.76	$31.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $25.35 / $38.03	Professional		$0.70	$25.35	$38.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $7.29 / $10.94	Professional	26	$0.10	$7.29	$10.94
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.60 / $18.05 / $27.08	Professional	TC	$0.60	$18.05	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $39.17 / $65.65	Professional		$24.75	$39.17	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $9.63 / $14.29	Professional	26	$6.82	$9.63	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $28.13 / $49.14	Professional	TC	$17.54	$28.13	$49.14