Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $29.51	Facility	26	$23.99	$23.99	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $218.78	Professional		$63.10	$93.33	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $97.72	Professional	26	$16.98	$28.84	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $19.05 / $24.55	Professional	26	$17.78	$19.05	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $416.87	Professional		$72.44	$93.33	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $37.15	Professional	26	$17.78	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $181.97	Professional		$77.62	$123.03	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $41.69	Professional	26	$16.60	$23.99	$41.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $97.72 / $128.82	Professional		$0.85	$97.72	$128.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $29.51 / $39.81	Professional	26	$0.18	$29.51	$39.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $120.23	Professional		$0.85	$0.85	$120.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $0.18 / $37.15	Professional	26	$0.18	$0.18	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $81.28	Professional		$75.86	$81.28	$81.28
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $24.55 / $24.55	Professional	26	$23.44	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $204.17	Professional		$72.44	$95.50	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $24.55 / $34.67	Professional	26	$13.18	$24.55	$34.67