Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.14 / $66.15 / $79.38	Facility	26	$65.14	$66.15	$79.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $104.87 / $158.46	Professional		$92.45	$104.87	$158.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $70.20 / $253.35	Professional	26	$58.95	$70.20	$253.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $86.67 / $112.33	Professional		$86.67	$86.67	$112.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.67 / $61.91 / $76.43	Professional	26	$55.67	$61.91	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $138.21 / $300.45	Professional		$85.89	$138.21	$300.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.44 / $71.94 / $102.30	Professional	26	$54.44	$71.94	$102.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $111.45 / $169.59	Professional		$1.47	$111.45	$169.59
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.70 / $70.29 / $118.79	Professional	26	$0.70	$70.29	$118.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $96.91 / $145.37	Professional		$1.47	$96.91	$145.37
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.70 / $67.88 / $101.82	Professional	26	$0.70	$67.88	$101.82
United Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $95.28 / $267.80	Professional		$92.59	$95.28	$267.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.88 / $69.65 / $89.44	Professional	26	$48.88	$69.65	$89.44