Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.62 / $22.00 / $26.40	Facility	26	$21.62	$22.00	$26.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $48.39 / $278.70	Professional		$44.04	$48.39	$278.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.58 / $23.34 / $131.35	Professional	26	$20.58	$23.34	$131.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $68.75 / $88.21	Professional		$43.49	$68.75	$88.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $30.42 / $36.90	Professional	26	$20.63	$30.42	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $69.75 / $111.06	Professional		$46.50	$69.75	$111.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.12 / $43.52	Professional	26	$21.88	$31.12	$43.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $68.67 / $105.90	Professional		$0.61	$68.67	$105.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $26.80 / $39.24	Professional	26	$0.28	$26.80	$39.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $45.18 / $71.54	Professional		$0.61	$45.18	$71.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $22.33 / $33.50	Professional	26	$0.28	$22.33	$33.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $53.14 / $97.68	Professional		$43.34	$53.14	$97.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $23.47 / $42.70	Professional	26	$19.89	$23.47	$42.70