Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.15 / $9.88 / $9.88	Facility	26	$9.15	$9.88	$9.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $64.95 / $264.47	Professional		$52.75	$64.95	$264.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.49 / $43.63	Professional	26	$7.53	$9.49	$43.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.20 / $30.07 / $39.04	Professional	52	$25.20	$30.07	$39.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.06 / $50.99 / $82.01	Professional	TC	$43.06	$50.99	$82.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $51.49 / $58.94	Professional		$49.36	$51.49	$58.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $9.14 / $18.22	Professional	26	$7.61	$9.14	$18.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $57.59 / $95.91	Professional		$47.20	$57.59	$95.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $8.56 / $14.41	Professional	26	$7.39	$8.56	$14.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.38 / $49.05 / $81.48	Professional	TC	$39.38	$49.05	$81.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $65.11 / $102.25	Professional		$48.55	$65.11	$102.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $10.03 / $16.47	Professional	26	$7.46	$10.03	$16.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.25 / $55.31 / $87.20	Professional	TC	$41.25	$55.31	$87.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $69.28 / $101.46	Professional		$0.43	$69.28	$101.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $10.23 / $14.69	Professional	26	$0.10	$10.23	$14.69
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $56.82 / $83.87	Professional	TC	$0.33	$56.82	$83.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $63.41 / $95.12	Professional		$0.43	$63.41	$95.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $9.30 / $13.95	Professional	26	$0.10	$9.30	$13.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.33 / $54.11 / $81.17	Professional	TC	$0.33	$54.11	$81.17
United Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $63.12 / $105.38	Professional		$48.64	$63.12	$105.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.40 / $17.16	Professional	26	$7.99	$10.40	$17.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $54.71 / $88.80	Professional	TC	$41.58	$54.71	$88.80