Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.54 / $11.38 / $11.38	Facility	26	$10.54	$11.38	$11.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $66.48 / $290.00	Professional		$40.08	$66.48	$290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.45 / $61.00	Professional	26	$10.35	$15.45	$61.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.38 / $48.89 / $72.77	Professional	TC	$29.38	$48.89	$72.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $37.74 / $41.55	Professional		$34.35	$37.74	$41.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.03 / $21.03	Professional	26	$8.77	$10.03	$21.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $55.58 / $69.70	Professional		$35.58	$55.58	$69.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $14.27 / $23.13	Professional	26	$9.07	$14.27	$23.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $41.08 / $50.15	Professional	TC	$26.42	$41.08	$50.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $63.47 / $107.89	Professional		$40.21	$63.47	$107.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $15.37 / $26.88	Professional	26	$10.30	$15.37	$26.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.78 / $48.64 / $81.02	Professional	TC	$29.78	$48.64	$81.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $56.36 / $100.00	Professional		$1.00	$56.36	$100.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $12.36 / $17.82	Professional	26	$0.30	$12.36	$17.82
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.70 / $42.95 / $62.57	Professional	TC	$0.70	$42.95	$62.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $37.74 / $65.03	Professional		$1.00	$37.74	$65.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $10.30 / $15.45	Professional	26	$0.30	$10.30	$15.45
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.70 / $33.04 / $49.56	Professional	TC	$0.70	$33.04	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $63.46 / $110.15	Professional		$38.97	$63.46	$110.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $14.80 / $24.41	Professional	26	$10.29	$14.80	$24.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.96 / $47.97 / $86.16	Professional	TC	$28.96	$47.97	$86.16