Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.76 / $94.07 / $112.88	Facility	26	$89.76	$94.07	$112.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $209.52 / $1,055.96	Professional		$172.18	$209.52	$1,055.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $94.07 / $240.19	Professional	26	$49.34	$94.07	$240.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $177.58 / $177.58 / $177.58	Professional	26	$177.58	$177.58	$177.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $183.80 / $264.85	Professional		$130.22	$183.80	$264.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $55.99 / $107.72	Professional	26	$48.45	$55.99	$107.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $267.63 / $593.76	Professional		$149.30	$267.63	$593.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.71 / $83.54 / $155.16	Professional	26	$46.71	$83.54	$155.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $211.13 / $281.54	Professional		$1.98	$211.13	$281.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $98.98 / $143.97	Professional	26	$0.68	$98.98	$143.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $164.71 / $250.14	Professional		$1.98	$164.71	$250.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.68 / $89.98 / $134.97	Professional	26	$0.68	$89.98	$134.97
United Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $234.01 / $554.83	Professional		$150.13	$234.01	$554.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $91.70 / $164.02	Professional	26	$44.80	$91.70	$164.02