Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.53 / $200.00 / $244.00	Facility	26	$83.53	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $200.00 / $265.00	Professional	26	$90.00	$200.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $182.01 / $182.01 / $182.01	Professional	26	$182.01	$182.01	$182.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.55 / $95.17 / $115.50	Professional	26	$82.55	$95.17	$115.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.86 / $132.16 / $167.05	Professional	26	$72.86	$132.16	$167.05
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.58 / $114.15 / $143.94	Professional	26	$77.58	$114.15	$143.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.20 / $129.30 / $129.30	Professional	26	$86.20	$129.30	$129.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $117.90 / $178.15	Professional	26	$74.45	$117.90	$178.15