Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.00 / $80.79 / $169.46	Facility	26	$73.00	$80.79	$169.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.44 / $478.26 / $1,816.51	Professional		$346.44	$478.26	$1,816.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.97 / $140.00 / $504.35	Professional	26	$87.97	$140.00	$504.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $64.91 / $64.91	Professional	26	$64.91	$64.91	$64.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.73 / $339.38 / $474.43	Professional		$272.73	$339.38	$474.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.69 / $84.33 / $131.12	Professional	26	$79.69	$84.33	$131.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $468.53 / $835.00	Professional		$279.66	$468.53	$835.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $112.21 / $160.35	Professional	26	$70.81	$112.21	$160.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $379.06 / $554.82	Professional		$5.58	$379.06	$554.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $106.20 / $142.96	Professional	26	$1.08	$106.20	$142.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $267.60 / $406.14	Professional		$5.58	$267.60	$406.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $81.69 / $122.54	Professional	26	$1.08	$81.69	$122.54
United Facility/Professional Professional Modifier Low / Median / High Price $239.49 / $381.97 / $717.64	Professional		$239.49	$381.97	$717.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.06 / $88.66 / $168.92	Professional	26	$69.06	$88.66	$168.92