Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.82 / $24.65 / $24.65	Facility	26	$22.82	$24.65	$24.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $37.92 / $149.28	Professional		$32.14	$37.92	$149.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $24.53 / $100.00	Professional	26	$21.14	$24.53	$100.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.48 / $18.12 / $23.08	Professional	52	$15.48	$18.12	$23.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.61 / $12.46 / $21.76	Professional	TC	$10.61	$12.46	$21.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $33.20 / $38.25	Professional		$30.18	$33.20	$38.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $25.20 / $38.75	Professional	26	$18.85	$25.20	$38.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $38.39 / $56.22	Professional		$28.37	$38.39	$56.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $26.09 / $37.67	Professional	26	$18.84	$26.09	$37.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.38 / $13.83 / $19.26	Professional	TC	$9.38	$13.83	$19.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $39.77 / $61.85	Professional		$29.87	$39.77	$61.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $26.50 / $41.08	Professional	26	$20.16	$26.50	$41.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.94 / $13.33 / $20.77	Professional	TC	$9.94	$13.33	$20.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $38.65 / $61.67	Professional		$0.30	$38.65	$61.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $24.63 / $35.04	Professional	26	$0.20	$24.63	$35.04
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $13.43 / $21.91	Professional	TC	$0.10	$13.43	$21.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $33.17 / $55.40	Professional		$0.30	$33.17	$55.40
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $22.61 / $33.92	Professional	26	$0.20	$22.61	$33.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $14.32 / $21.48	Professional	TC	$0.10	$14.32	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $38.96 / $62.81	Professional		$30.40	$38.96	$62.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $26.66 / $43.08	Professional	26	$20.14	$26.66	$43.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $12.93 / $20.49	Professional	TC	$9.92	$12.93	$20.49