Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.86 / $200.00 / $244.00	Facility	26	$96.86	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $200.00 / $600.96	Professional	26	$90.00	$200.00	$600.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.56 / $97.27 / $143.51	Professional	26	$95.56	$97.27	$143.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.38 / $153.18 / $193.72	Professional	26	$89.38	$153.18	$193.72
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.10 / $122.43 / $163.56	Professional	26	$62.10	$122.43	$163.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.62 / $97.94 / $146.91	Professional	26	$0.62	$97.94	$146.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.97 / $119.44 / $199.48	Professional	26	$86.97	$119.44	$199.48