Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.72 / $31.02 / $31.02	Facility	26	$28.72	$31.02	$31.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $68.34 / $259.00	Professional		$57.01	$68.34	$259.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $29.82 / $48.70	Professional	26	$25.48	$29.82	$48.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $34.95 / $62.65	Professional	TC	$30.94	$34.95	$62.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.61 / $59.61	Professional		$59.61	$59.61	$59.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $63.73 / $105.48	Professional		$51.78	$63.73	$105.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $30.74 / $53.60	Professional	26	$24.60	$30.74	$53.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.11 / $33.18 / $57.96	Professional	TC	$28.11	$33.18	$57.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $79.63 / $175.30	Professional		$57.46	$79.63	$175.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $33.82 / $52.20	Professional	26	$26.13	$33.82	$52.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $41.67 / $131.44	Professional	TC	$30.84	$41.67	$131.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $70.23 / $116.20	Professional		$1.75	$70.23	$116.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $30.69 / $43.71	Professional	26	$0.20	$30.69	$43.71
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.55 / $39.81 / $64.80	Professional	TC	$1.55	$39.81	$64.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $61.26 / $104.37	Professional		$1.75	$61.26	$104.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $28.57 / $42.86	Professional	26	$0.20	$28.57	$42.86
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.55 / $41.01 / $61.52	Professional	TC	$1.55	$41.01	$61.52
United Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $68.64 / $118.57	Professional		$53.47	$68.64	$118.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $31.69 / $53.68	Professional	26	$24.71	$31.69	$53.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.98 / $35.70 / $60.05	Professional	TC	$27.98	$35.70	$60.05