Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $239.88	Facility	26	$199.53	$199.53	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $263.03	Professional	26	$89.13	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $181.97	Professional	26	$69.18	$70.79	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $144.54	Professional	26	$83.18	$83.18	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $141.25 / $169.82	Professional	26	$72.44	$141.25	$169.82
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $151.36	Professional	26	$81.28	$117.49	$151.36
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $165.96	Professional	26	$74.13	$102.33	$165.96