Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.27 / $19.64 / $73.00	Facility	26	$11.27	$19.64	$73.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $298.06 / $494.18	Professional		$56.83	$298.06	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $69.94 / $380.94	Professional	26	$12.31	$69.94	$380.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Professional	26	$22.16	$22.16	$22.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $57.30 / $84.31	Professional		$46.35	$57.30	$84.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $11.11 / $18.16	Professional	26	$10.98	$11.11	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $76.03 / $112.58	Professional		$46.01	$76.03	$112.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $14.16 / $22.10	Professional	26	$9.74	$14.16	$22.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $60.57 / $84.13	Professional		$0.09	$60.57	$84.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $14.13 / $18.07	Professional	26	$0.05	$14.13	$18.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $45.41 / $68.12	Professional		$0.09	$45.41	$68.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $11.30 / $16.95	Professional	26	$0.05	$11.30	$16.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $69.97 / $111.32	Professional		$45.40	$69.97	$111.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.53 / $23.80	Professional	26	$9.94	$12.53	$23.80