Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $44.67	Facility	26	$37.15	$37.15	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $1,412.54	Professional		$181.97	$288.40	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $204.17	Professional	26	$33.11	$41.69	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $30.20 / $33.11	Professional	26	$28.84	$30.20	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $446.68	Professional		$173.78	$263.03	$446.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $60.26	Professional	26	$34.67	$34.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $512.86	Professional		$144.54	$446.68	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $72.44	Professional	26	$36.31	$60.26	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $323.59 / $457.09	Professional		$2.63	$323.59	$457.09
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $48.98 / $63.10	Professional	26	$0.36	$48.98	$63.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $389.05	Professional		$2.63	$2.63	$389.05
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.36 / $0.36 / $53.70	Professional	26	$0.36	$0.36	$53.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $478.63	Professional		$114.82	$263.03	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $69.18	Professional	26	$30.90	$44.67	$69.18