Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.98 / $21.64	Facility	26	$19.95	$19.98	$21.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $79.18 / $319.12	Professional		$68.06	$79.18	$319.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.41 / $22.33 / $78.00	Professional	26	$18.41	$22.33	$78.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $53.90 / $103.58	Professional	TC	$50.22	$53.90	$103.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $73.28 / $73.28	Professional		$73.28	$73.28	$73.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	26	$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $136.11 / $136.11	Professional		$68.89	$136.11	$136.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $33.52 / $33.52	Professional	26	$18.73	$33.52	$33.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.16 / $102.59 / $102.59	Professional	TC	$50.16	$102.59	$102.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $74.48	Professional		$67.55	$67.55	$74.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $19.95	Professional	26	$18.45	$18.45	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $54.54	Professional	TC	$49.10	$49.10	$54.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $87.94 / $122.38	Professional		$1.17	$87.94	$122.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $29.53 / $58.65	Professional	26	$19.95	$29.53	$58.65
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $53.32 / $73.58 / $95.98	Professional	TC	$53.32	$73.58	$95.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $73.28 / $109.92	Professional		$1.17	$73.28	$109.92
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $29.93 / $29.93	Professional	26	$19.95	$29.93	$29.93
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $53.32 / $79.98 / $79.98	Professional	TC	$53.32	$79.98	$79.98
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $95.64 / $160.58	Professional		$62.56	$95.64	$160.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $25.51 / $38.72	Professional	26	$13.92	$25.51	$38.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.60 / $82.42 / $137.37	Professional	TC	$61.60	$82.42	$137.37