Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $15.06 / $18.07	Facility	26	$14.46	$15.06	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $105.25 / $515.47	Professional		$94.77	$105.25	$515.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $15.67 / $83.99	Professional	26	$14.68	$15.67	$83.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $81.52 / $127.54	Professional		$64.54	$81.52	$127.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.82 / $21.00	Professional	26	$13.97	$16.82	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $103.70 / $193.24	Professional		$69.84	$103.70	$193.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $19.73 / $27.95	Professional	26	$12.79	$19.73	$27.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $115.14 / $167.20	Professional		$0.52	$115.14	$167.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.16 / $18.76 / $24.42	Professional	26	$0.16	$18.76	$24.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $99.48 / $150.18	Professional		$0.52	$99.48	$150.18
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.16 / $15.26 / $22.89	Professional	26	$0.16	$15.26	$22.89
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $89.86 / $148.27	Professional		$55.86	$89.86	$148.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $15.60 / $27.59	Professional	26	$11.99	$15.60	$27.59