Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $169.82	Facility	26	$141.25	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $870.96	Professional		$281.84	$457.09	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $407.38	Professional	26	$85.11	$131.83	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $66.07	Professional	26	$64.57	$64.57	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $489.78	Professional		$275.42	$302.00	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $85.11 / $141.25	Professional	26	$79.43	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $812.83	Professional		$275.42	$467.74	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $162.18	Professional	26	$64.57	$112.20	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $354.81 / $457.09	Professional		$5.62	$354.81	$457.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.07 / $97.72 / $131.83	Professional	26	$1.07	$97.72	$131.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $407.38	Professional		$5.62	$5.62	$407.38
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.07 / $1.07 / $123.03	Professional	26	$1.07	$1.07	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $741.31	Professional		$269.15	$416.87	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $79.43 / $151.36	Professional	26	$69.18	$79.43	$151.36