Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.17 / $75.70 / $90.85	Facility	26	$73.17	$75.70	$90.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $174.85 / $880.00	Professional		$155.55	$174.85	$880.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $75.20 / $118.18	Professional	26	$67.59	$75.20	$118.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $168.41 / $224.37	Professional		$159.55	$168.41	$224.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $76.28 / $99.98	Professional	26	$70.80	$76.28	$99.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $201.26 / $324.45	Professional		$137.37	$201.26	$324.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $93.17 / $140.49	Professional	26	$62.46	$93.17	$140.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $207.81 / $313.32	Professional		$1.35	$207.81	$313.32
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $87.22 / $128.04	Professional	26	$0.72	$87.22	$128.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $169.14 / $268.56	Professional		$1.35	$169.14	$268.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.72 / $75.84 / $113.76	Professional	26	$0.72	$75.84	$113.76
United Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $179.00 / $312.47	Professional		$137.04	$179.00	$312.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $80.12 / $132.19	Professional	26	$55.99	$80.12	$132.19