Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.27 / $73.01 / $87.61	Facility	26	$57.27	$73.01	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $276.83 / $1,335.95	Professional		$216.20	$276.83	$1,335.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $73.01 / $359.20	Professional	26	$57.89	$73.01	$359.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.82 / $45.82 / $45.82	Professional	26	$45.82	$45.82	$45.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $257.89 / $342.61	Professional		$196.21	$257.89	$342.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $57.15 / $94.03	Professional	26	$55.52	$57.15	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $342.91 / $573.45	Professional		$201.92	$342.91	$573.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $77.69 / $114.27	Professional	26	$49.99	$77.69	$114.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $274.47 / $418.61	Professional		$3.24	$274.47	$418.61
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $75.06 / $101.05	Professional	26	$0.65	$75.06	$101.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $193.03 / $294.08	Professional		$3.24	$193.03	$294.08
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $57.74 / $86.61	Professional	26	$0.65	$57.74	$86.61
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $298.87 / $497.20	Professional		$198.78	$298.87	$497.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $58.74 / $118.23	Professional	26	$47.40	$58.74	$118.23