Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.95 / $60.79 / $72.95	Facility	26	$56.95	$60.79	$72.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $230.09 / $961.00	Professional		$172.58	$230.09	$961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $60.79 / $113.64	Professional	26	$42.60	$60.79	$113.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $45.83 / $45.83	Professional	26	$45.83	$45.83	$45.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $214.04 / $283.20	Professional		$192.46	$214.04	$283.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $54.06 / $71.76	Professional	26	$46.10	$54.06	$71.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $242.28 / $416.46	Professional		$152.94	$242.28	$416.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.13 / $64.89 / $112.80	Professional	26	$40.13	$64.89	$112.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $242.75 / $337.74	Professional		$1.08	$242.75	$337.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $66.02 / $91.86	Professional	26	$0.50	$66.02	$91.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $208.23 / $316.64	Professional		$1.08	$208.23	$316.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.50 / $57.41 / $86.12	Professional	26	$0.50	$57.41	$86.12
United Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $225.20 / $371.58	Professional		$136.13	$225.20	$371.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $62.39 / $105.02	Professional	26	$38.44	$62.39	$105.02