Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.54 / $96.13 / $115.36	Facility	26	$88.54	$96.13	$115.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $225.80 / $621.73	Professional		$161.66	$225.80	$621.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $96.09 / $386.07	Professional	26	$77.76	$96.09	$386.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $187.18 / $263.39	Professional		$150.16	$187.18	$263.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $88.26 / $117.66	Professional	26	$86.49	$88.26	$117.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $262.23 / $655.45	Professional		$144.58	$262.23	$655.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.40 / $111.33 / $177.08	Professional	26	$71.40	$111.33	$177.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $200.79 / $260.76	Professional		$2.25	$200.79	$260.76
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $108.04 / $144.05	Professional	26	$1.08	$108.04	$144.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $150.22 / $231.68	Professional		$2.25	$150.22	$231.68
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.08 / $90.03 / $135.05	Professional	26	$1.08	$90.03	$135.05
United Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $220.90 / $610.84	Professional		$164.28	$220.90	$610.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $99.97 / $178.61	Professional	26	$67.76	$99.97	$178.61