Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $234.42	Facility	26	$194.98	$194.98	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,096.48	Professional		$562.34	$630.96	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $204.17 / $338.84	Professional	26	$177.83	$204.17	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,230.27	Professional		$575.44	$831.76	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $251.19 / $407.38	Professional	26	$190.55	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,174.90	Professional		$549.54	$724.44	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $239.88 / $389.05	Professional	26	$169.82	$239.88	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,047.13	Professional		$741.31	$851.14	$1,047.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $275.42 / $346.74	Professional	26	$218.78	$275.42	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $199.53 / $199.53	Professional	26	$194.98	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,122.02	Professional		$501.19	$758.58	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $257.04 / $380.19	Professional	26	$158.49	$257.04	$380.19