Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.33 / $101.91 / $122.29	Facility	26	$81.33	$101.91	$122.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $387.95 / $1,518.64	Professional		$312.06	$387.95	$1,518.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $102.70 / $439.00	Professional	26	$78.03	$102.70	$439.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $120.37 / $177.22	Professional	26	$65.72	$120.37	$177.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $343.08 / $506.15	Professional		$284.76	$343.08	$506.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.90 / $80.01 / $130.81	Professional	26	$78.90	$80.01	$130.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $462.61 / $683.00	Professional		$275.00	$462.61	$683.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $101.59 / $159.51	Professional	26	$63.97	$101.59	$159.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $339.66 / $487.55	Professional		$3.06	$339.66	$487.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $106.48 / $143.34	Professional	26	$0.81	$106.48	$143.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $261.27 / $391.92	Professional		$3.06	$261.27	$391.92
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.81 / $81.91 / $122.87	Professional	26	$0.81	$81.91	$122.87
United Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $377.99 / $630.02	Professional		$282.95	$377.99	$630.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $81.04 / $166.84	Professional	26	$65.37	$81.04	$166.84