Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.28 / $13.26 / $13.26	Facility	26	$12.28	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $64.23 / $261.00	Professional		$51.84	$64.23	$261.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.97 / $61.80	Professional	26	$11.24	$13.97	$61.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.90 / $29.09 / $37.61	Professional	52	$24.90	$29.09	$37.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.33 / $46.03 / $77.70	Professional	TC	$39.33	$46.03	$77.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $49.90 / $60.02	Professional		$48.34	$49.90	$60.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $11.68 / $24.56	Professional	26	$10.26	$11.68	$24.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $56.27 / $89.75	Professional		$45.77	$56.27	$89.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $12.34 / $20.28	Professional	26	$10.39	$12.34	$20.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.82 / $44.67 / $69.84	Professional	TC	$35.82	$44.67	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $65.39 / $101.03	Professional		$48.80	$65.39	$101.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $14.53 / $22.52	Professional	26	$10.95	$14.53	$22.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.86 / $50.77 / $78.92	Professional	TC	$37.86	$50.77	$78.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $67.31 / $101.89	Professional		$0.43	$67.31	$101.89
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $13.22 / $18.91	Professional	26	$0.10	$13.22	$18.91
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $53.41 / $80.15	Professional	TC	$0.33	$53.41	$80.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $54.84 / $95.52	Professional		$0.43	$54.84	$95.52
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $11.97 / $17.96	Professional	26	$0.10	$11.97	$17.96
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $51.71 / $77.56	Professional	TC	$0.33	$51.71	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $63.20 / $100.66	Professional		$49.17	$63.20	$100.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.40 / $23.19	Professional	26	$11.07	$14.40	$23.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $48.69 / $77.69	Professional	TC	$37.61	$48.69	$77.69