Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.28 / $40.56 / $48.67	Facility	26	$40.28	$40.56	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $115.73 / $618.95	Professional		$99.82	$115.73	$618.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $43.58 / $239.66	Professional	26	$39.69	$43.58	$239.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $99.37 / $131.58	Professional		$80.12	$99.37	$131.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.78 / $43.66 / $54.30	Professional	26	$37.78	$43.66	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $131.06 / $210.91	Professional		$79.53	$131.06	$210.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $51.86 / $75.26	Professional	26	$33.39	$51.86	$75.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $127.68 / $185.42	Professional		$0.98	$127.68	$185.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $50.06 / $65.39	Professional	26	$0.44	$50.06	$65.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $108.16 / $166.55	Professional		$0.98	$108.16	$166.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.44 / $40.86 / $61.31	Professional	26	$0.44	$40.86	$61.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $109.35 / $190.89	Professional		$87.34	$109.35	$190.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $43.67 / $79.48	Professional	26	$34.94	$43.67	$79.48