Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $72.44	Facility	26	$60.26	$60.26	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $457.09	Professional		$173.78	$213.80	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $95.50	Professional	26	$41.69	$57.54	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $371.54	Professional		$208.93	$218.78	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $56.23 / $93.33	Professional	26	$51.29	$56.23	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $389.05	Professional		$154.88	$239.88	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $102.33	Professional	26	$43.65	$61.66	$102.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $251.19 / $338.84	Professional		$1.07	$251.19	$338.84
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $69.18 / $91.20	Professional	26	$0.50	$69.18	$91.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $316.23	Professional		$1.07	$1.07	$316.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $0.50 / $87.10	Professional	26	$0.50	$0.50	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $338.84	Professional		$134.90	$223.87	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $61.66 / $93.33	Professional	26	$35.48	$61.66	$93.33