Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.67 / $38.86 / $46.64	Facility	26	$36.67	$38.86	$46.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $126.94 / $608.00	Professional		$96.60	$126.94	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $42.88 / $123.00	Professional	26	$21.42	$42.88	$123.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $79.90 / $79.90	Professional	26	$29.53	$79.90	$79.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $110.44 / $146.72	Professional		$95.47	$110.44	$146.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $25.65 / $44.08	Professional	26	$21.90	$25.65	$44.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $131.29 / $232.39	Professional		$84.71	$131.29	$232.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.36 / $64.12	Professional	26	$19.95	$34.36	$64.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $138.63 / $190.00	Professional		$0.59	$138.63	$190.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $37.14 / $59.42	Professional	26	$0.25	$37.14	$59.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $116.20 / $176.99	Professional		$0.59	$116.20	$176.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $37.14 / $55.71	Professional	26	$0.25	$37.14	$55.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $123.07 / $203.07	Professional		$70.19	$123.07	$203.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $37.00 / $68.43	Professional	26	$19.42	$37.00	$68.43