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 $28.84 / $125.89 / $263.03	Professional	26	$28.84	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $47.86	Professional	26	$27.54	$27.54	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $46.77 / $56.23	Professional	26	$23.99	$46.77	$56.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $50.12	Professional	26	$27.54	$38.90	$50.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.88 / $56.23	Professional	26	$25.12	$33.88	$56.23