Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $27.54	Facility	26	$22.91	$22.91	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $199.53	Professional		$95.50	$128.82	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $36.31	Professional	26	$19.05	$22.91	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Professional		$72.44	$72.44	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.95	Professional	26	$19.05	$19.05	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $213.80	Professional		$109.65	$131.83	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $22.39 / $37.15	Professional	26	$21.38	$22.39	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $234.42	Professional		$93.33	$134.90	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $29.51 / $42.66	Professional	26	$19.50	$29.51	$42.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $158.49 / $208.93	Professional		$0.71	$158.49	$208.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $26.92 / $36.31	Professional	26	$0.25	$26.92	$36.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $199.53	Professional		$0.71	$0.71	$199.53
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.25 / $0.25 / $33.88	Professional	26	$0.25	$0.25	$33.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $131.83	Professional		$128.82	$131.83	$131.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $22.39 / $22.39	Professional	26	$21.88	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $199.53	Professional		$79.43	$128.82	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $40.74	Professional	26	$17.78	$25.12	$40.74