Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.93 / $200.00 / $244.00	Facility	26	$86.93	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.00 / $200.00 / $528.29	Professional	26	$125.00	$200.00	$528.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.13 / $88.68 / $130.83	Professional	26	$84.13	$88.68	$130.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.53 / $134.71 / $173.86	Professional	26	$81.53	$134.71	$173.86
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $124.19 / $1,875.00	Professional	26	$56.70	$124.19	$1,875.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $88.03 / $132.05	Professional	26	$0.56	$88.03	$132.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $107.86 / $174.97	Professional	26	$80.98	$107.86	$174.97