Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.71 / $15.89 / $15.89	Facility	26	$14.71	$15.89	$15.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $42.57 / $170.00	Professional		$35.53	$42.57	$170.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $15.35 / $58.99	Professional	26	$13.13	$15.35	$58.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $26.21 / $43.20	Professional	TC	$22.40	$26.21	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $35.22 / $38.29	Professional		$34.35	$35.22	$38.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $39.86 / $63.37	Professional		$32.11	$39.86	$63.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.16 / $24.34	Professional	26	$12.69	$15.16	$24.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $23.63 / $39.36	Professional	TC	$19.11	$23.63	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $45.81 / $75.48	Professional		$32.74	$45.81	$75.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $17.60 / $27.84	Professional	26	$13.44	$17.60	$27.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $27.95 / $47.07	Professional	TC	$18.35	$27.95	$47.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $46.20 / $75.00	Professional		$0.75	$46.20	$75.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $15.74 / $23.90	Professional	26	$0.25	$15.74	$23.90
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.50 / $30.16 / $46.24	Professional	TC	$0.50	$30.16	$46.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $37.74 / $63.00	Professional		$0.75	$37.74	$63.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $14.31 / $21.47	Professional	26	$0.25	$14.31	$21.47
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.50 / $27.69 / $41.54	Professional	TC	$0.50	$27.69	$41.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $42.24 / $71.50	Professional		$33.65	$42.24	$71.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $16.37 / $27.69	Professional	26	$12.60	$16.37	$27.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $26.40 / $45.06	Professional	TC	$21.08	$26.40	$45.06