Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $48.98	Facility	26	$39.81	$39.81	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $169.82	Professional		$91.20	$114.82	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $64.57	Professional	26	$33.11	$39.81	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $173.78	Professional		$93.33	$107.15	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $66.07	Professional	26	$38.02	$38.02	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $389.05	Professional		$87.10	$158.49	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $74.13	Professional	26	$34.67	$50.12	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $147.91 / $194.98	Professional		$2.45	$147.91	$194.98
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $47.86 / $64.57	Professional	26	$0.41	$47.86	$64.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $181.97	Professional		$2.45	$2.45	$181.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $0.41 / $60.26	Professional	26	$0.41	$0.41	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $123.03	Professional		$107.15	$123.03	$123.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $39.81 / $39.81	Professional	26	$38.02	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $316.23	Professional		$100.00	$144.54	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $69.18	Professional	26	$29.51	$43.65	$69.18