Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $95.50	Professional		$38.90	$47.86	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $51.29	Professional	26	$10.00	$12.88	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $74.13	Professional	TC	$28.18	$33.11	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $66.07	Professional		$38.02	$41.69	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.48 / $19.05	Professional	26	$10.00	$11.48	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $81.28	Professional		$38.02	$50.12	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $21.88	Professional	26	$10.47	$13.18	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $58.88	Professional	TC	$26.30	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $79.43	Professional		$39.81	$51.29	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $21.38	Professional	26	$10.96	$14.45	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $57.54	Professional	TC	$28.84	$37.15	$57.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $47.86 / $74.13	Professional		$0.35	$47.86	$74.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $12.02 / $17.78	Professional	26	$0.10	$12.02	$17.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.25 / $35.48 / $56.23	Professional	TC	$0.25	$35.48	$56.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $74.13	Professional		$0.35	$0.35	$74.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $0.10 / $17.78	Professional	26	$0.10	$0.10	$17.78
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.25 / $0.25 / $56.23	Professional	TC	$0.25	$0.25	$56.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $77.62	Professional		$43.65	$50.12	$77.62
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.02 / $21.38	Professional	26	$11.22	$12.02	$21.38
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.02 / $56.23	Professional	TC	$32.36	$38.02	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $79.43	Professional		$37.15	$50.12	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $22.39	Professional	26	$10.96	$14.45	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $58.88	Professional	TC	$27.54	$36.31	$58.88