Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.11 / $29.13 / $34.93	Facility	26	$29.11	$29.13	$34.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $144.86 / $791.75	Professional		$111.26	$144.86	$791.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $29.43 / $161.80	Professional	26	$25.03	$29.43	$161.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $118.10 / $180.23	Professional		$102.15	$118.10	$180.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $26.97 / $36.68	Professional	26	$25.30	$26.97	$36.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.83 / $170.25 / $242.59	Professional	50	$134.83	$170.25	$242.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $152.84 / $249.21	Professional		$109.24	$152.84	$249.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $35.06 / $54.02	Professional	26	$23.87	$35.06	$54.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $151.96 / $195.21	Professional		$0.99	$151.96	$195.21
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $36.84 / $50.16	Professional	26	$0.30	$36.84	$50.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $104.13 / $175.34	Professional		$0.99	$104.13	$175.34
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $31.35 / $47.03	Professional	26	$0.30	$31.35	$47.03
United Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $138.58 / $220.30	Professional		$101.49	$138.58	$220.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $29.59 / $52.44	Professional	26	$21.21	$29.59	$52.44