Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $87.10	Facility	26	$72.44	$72.44	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $436.52	Professional		$199.53	$275.42	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $102.33	Professional	26	$52.48	$64.57	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $50.12	Professional	26	$46.77	$46.77	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $346.74	Professional		$194.98	$239.88	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $102.33	Professional	26	$56.23	$56.23	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $562.34	Professional		$204.17	$338.84	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $114.82	Professional	26	$45.71	$77.62	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $257.04 / $338.84	Professional		$3.24	$257.04	$338.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $69.18 / $93.33	Professional	26	$0.65	$69.18	$93.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $295.12	Professional		$3.24	$3.24	$295.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $0.65 / $87.10	Professional	26	$0.65	$0.65	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $199.53	Professional		$194.98	$199.53	$199.53
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $501.19	Professional		$199.53	$295.12	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $107.15	Professional	26	$45.71	$54.95	$107.15