Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.31 / $200.00 / $244.00	Facility	26	$85.31	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.00 / $200.00 / $524.91	Professional	26	$125.00	$200.00	$524.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.82 / $85.33 / $125.88	Professional	26	$83.82	$85.33	$125.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.80 / $134.37 / $170.63	Professional	26	$77.80	$134.37	$170.63
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $119.26 / $1,725.00	Professional	26	$54.90	$119.26	$1,725.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $86.03 / $129.05	Professional	26	$0.55	$86.03	$129.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.68 / $105.46 / $174.31	Professional	26	$80.68	$105.46	$174.31