Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.73 / $200.00 / $244.00	Facility	26	$65.73	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $200.00 / $406.19	Professional	26	$90.00	$200.00	$406.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.13 / $80.09 / $97.20	Professional	26	$64.13	$80.09	$97.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $102.62 / $131.47	Professional	26	$58.94	$102.62	$131.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.15 / $89.68 / $110.94	Professional	26	$54.15	$89.68	$110.94
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.90 / $66.43 / $99.65	Professional	26	$0.90	$66.43	$99.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.09 / $89.89 / $134.53	Professional	26	$62.09	$89.89	$134.53