Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.13 / $3.56 / $3.76	Facility	26	$3.13	$3.56	$3.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $39.76 / $111.81	Professional		$23.87	$39.76	$111.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.00 / $3.79 / $16.00	Professional	26	$3.00	$3.79	$16.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.54 / $12.33 / $67.53	Professional	52	$10.54	$12.33	$67.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $33.75 / $85.85	Professional	TC	$18.23	$33.75	$85.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.47 / $2.73 / $5.50	Professional	26	$2.47	$2.73	$5.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $43.68 / $77.33	Professional		$23.63	$43.68	$77.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.98 / $4.90 / $6.56	Professional	26	$2.98	$4.90	$6.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $38.14 / $70.16	Professional	TC	$20.87	$38.14	$70.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $37.95 / $134.16	Professional		$23.90	$37.95	$134.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.11 / $4.49 / $6.05	Professional	26	$3.11	$4.49	$6.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $33.78 / $129.52	Professional	TC	$20.79	$33.78	$129.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $27.30 / $42.73	Professional		$1.17	$27.30	$42.73
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $4.01 / $5.85	Professional	26	$0.40	$4.01	$5.85
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.77 / $22.43 / $35.68	Professional	TC	$0.77	$22.43	$35.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $23.74 / $35.61	Professional		$1.17	$23.74	$35.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $3.34 / $5.01	Professional	26	$0.40	$3.34	$5.01
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.77 / $20.39 / $30.59	Professional	TC	$0.77	$20.39	$30.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $39.93 / $126.13	Professional		$23.72	$39.93	$126.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.00 / $4.32 / $6.30	Professional	26	$3.00	$4.32	$6.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $32.93 / $110.88	Professional	TC	$20.13	$32.93	$110.88