Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $45.71	Facility	26	$38.02	$38.02	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $331.13	Professional		$58.88	$104.71	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $239.88	Professional		$64.57	$97.72	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $114.82 / $251.19	Professional	50	$109.65	$114.82	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $223.87	Professional		$83.18	$144.54	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $83.18 / $173.78	Professional		$1.23	$83.18	$173.78
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.62 / $45.71 / $91.20	Professional	26	$0.62	$45.71	$91.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $102.33	Professional		$1.23	$1.23	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $95.50	Professional		$66.07	$69.18	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $213.80	Professional		$69.18	$114.82	$213.80