Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.97 / $40.67 / $48.80	Facility	26	$37.97	$40.67	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $125.35 / $617.92	Professional		$106.06	$125.35	$617.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $41.12 / $240.74	Professional	26	$38.10	$41.12	$240.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $107.94 / $174.41	Professional		$84.87	$107.94	$174.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $38.79 / $54.70	Professional	26	$37.11	$38.79	$54.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $166.38 / $372.22	Professional		$94.73	$166.38	$372.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $51.34 / $75.48	Professional	26	$34.89	$51.34	$75.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $140.37 / $203.84	Professional		$2.48	$140.37	$203.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $50.25 / $64.31	Professional	26	$0.41	$50.25	$64.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $107.14 / $183.09	Professional		$2.48	$107.14	$183.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $40.20 / $60.30	Professional	26	$0.41	$40.20	$60.30
United Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $160.71 / $369.69	Professional		$104.51	$160.71	$369.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $43.68 / $79.48	Professional	26	$31.53	$43.68	$79.48