Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $91.44 / $109.73	Facility	26	$86.16	$91.44	$109.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $190.39 / $1,022.39	Professional		$166.87	$190.39	$1,022.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $91.44 / $341.92	Professional	26	$81.76	$91.44	$341.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $300.52 / $377.81	Professional		$141.63	$300.52	$377.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.45 / $84.49 / $84.49	Professional	26	$81.45	$84.49	$84.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $196.92 / $268.02	Professional		$164.78	$196.92	$268.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.40 / $97.51 / $128.79	Professional	26	$85.40	$97.51	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $235.65 / $343.46	Professional		$157.69	$235.65	$343.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.75 / $115.13 / $169.69	Professional	26	$76.75	$115.13	$169.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $217.85 / $317.70	Professional		$1.62	$217.85	$317.70
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $108.12 / $152.12	Professional	26	$0.63	$108.12	$152.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $171.73 / $272.31	Professional		$1.62	$171.73	$272.31
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.63 / $90.10 / $135.15	Professional	26	$0.63	$90.10	$135.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $185.11 / $332.03	Professional		$165.69	$185.11	$332.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.64 / $96.72 / $158.12	Professional	26	$67.64	$96.72	$158.12