Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.64 / $200.00 / $244.00	Facility	26	$79.64	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $200.00 / $492.43	Professional	26	$90.00	$200.00	$492.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.73 / $94.67 / $114.88	Professional	26	$78.73	$94.67	$114.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.26 / $126.13 / $159.29	Professional	26	$76.26	$126.13	$159.29
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $102.74 / $138.13	Professional	26	$68.23	$102.74	$138.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $82.19 / $123.29	Professional	26	$0.90	$82.19	$123.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $119.92 / $163.03	Professional	26	$75.45	$119.92	$163.03