Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $138.04	Facility	26	$114.82	$114.82	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $812.83	Professional		$416.87	$549.54	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $165.96	Professional	26	$70.79	$104.71	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $616.60	Professional		$346.74	$407.38	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $66.07 / $112.20	Professional	26	$60.26	$66.07	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $691.83	Professional		$354.81	$501.19	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $112.20	Professional	26	$58.88	$79.43	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $426.58 / $724.44	Professional		$3.16	$426.58	$724.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $69.18 / $117.49	Professional	26	$0.45	$69.18	$117.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $645.65	Professional		$3.16	$3.16	$645.65
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $0.45 / $104.71	Professional	26	$0.45	$0.45	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $426.58	Professional		$407.38	$426.58	$426.58
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $69.18 / $69.18	Professional	26	$67.61	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $724.44	Professional		$363.08	$398.11	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $123.03	Professional	26	$54.95	$63.10	$123.03