Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $41.69	Facility	26	$33.88	$33.88	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $281.84	Professional		$48.98	$79.43	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $69.18	Professional	26	$28.84	$39.81	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $123.03	Professional		$52.48	$72.44	$123.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $41.69 / $57.54	Professional	26	$32.36	$41.69	$57.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $95.50 / $151.36	Professional	50	$89.13	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $165.96	Professional		$66.07	$95.50	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $79.43	Professional	26	$38.02	$54.95	$79.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $69.18 / $107.15	Professional		$0.66	$69.18	$107.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $41.69 / $61.66	Professional	26	$0.32	$41.69	$61.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $85.11	Professional		$0.66	$0.66	$85.11
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.32 / $0.32 / $52.48	Professional	26	$0.32	$0.32	$52.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $79.43	Professional		$54.95	$57.54	$79.43
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $34.67 / $50.12	Professional	26	$33.88	$34.67	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $138.04	Professional		$54.95	$79.43	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $37.15 / $67.61	Professional	26	$31.62	$37.15	$67.61