Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $9.13 / $9.13	Facility	26	$8.46	$9.13	$9.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $38.49 / $177.00	Professional		$25.72	$38.49	$177.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.28 / $36.21	Professional	26	$7.82	$9.28	$36.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $28.33 / $42.25	Professional	TC	$18.77	$28.33	$42.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $25.93 / $37.27	Professional		$23.33	$25.93	$37.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.84 / $16.80	Professional	26	$6.90	$8.84	$16.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $32.97 / $45.78	Professional		$25.88	$32.97	$45.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $8.89 / $16.10	Professional	26	$7.27	$8.89	$16.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $24.18 / $31.87	Professional	TC	$17.82	$24.18	$31.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $39.38 / $65.09	Professional		$27.61	$39.38	$65.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.32 / $17.47	Professional	26	$7.53	$10.32	$17.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $28.85 / $45.73	Professional	TC	$19.82	$28.85	$45.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $35.57 / $53.35	Professional		$0.53	$35.57	$53.35
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $9.13 / $13.86	Professional	26	$0.30	$9.13	$13.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $26.37 / $36.03	Professional	TC	$0.23	$26.37	$36.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $26.42 / $44.46	Professional		$0.53	$26.42	$44.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $8.30 / $12.45	Professional	26	$0.30	$8.30	$12.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.23 / $21.34 / $32.01	Professional	TC	$0.23	$21.34	$32.01
United Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $38.38 / $66.27	Professional		$27.55	$38.38	$66.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $9.24 / $15.82	Professional	26	$7.25	$9.24	$15.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $29.26 / $51.02	Professional	TC	$19.76	$29.26	$51.02