Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $72.47 / $86.96	Facility	26	$57.60	$72.47	$86.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $248.25 / $1,338.04	Professional		$199.44	$248.25	$1,338.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.24 / $72.70 / $359.20	Professional	26	$61.24	$72.70	$359.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $46.08 / $46.33	Professional	26	$46.08	$46.08	$46.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $257.89 / $343.72	Professional		$196.85	$257.89	$343.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $56.83 / $93.50	Professional	26	$55.85	$56.83	$93.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.25 / $342.91 / $577.91	Professional		$203.25	$342.91	$577.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.02 / $77.69 / $113.43	Professional	26	$50.02	$77.69	$113.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $276.81 / $420.86	Professional		$3.24	$276.81	$420.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $75.50 / $101.64	Professional	26	$0.65	$75.50	$101.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $195.29 / $296.58	Professional		$3.24	$195.29	$296.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.65 / $58.08 / $87.12	Professional	26	$0.65	$58.08	$87.12
United Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $301.18 / $495.88	Professional		$199.09	$301.18	$495.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $61.20 / $118.23	Professional	26	$48.66	$61.20	$118.23