Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $239.88	Facility	26	$199.53	$199.53	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $199.53 / $645.65	Professional	26	$100.00	$199.53	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $169.82	Professional	26	$83.18	$100.00	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $181.97	Professional	26	$107.15	$107.15	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $181.97 / $218.78	Professional	26	$100.00	$181.97	$218.78
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.69 / $147.91 / $181.97	Professional	26	$0.69	$147.91	$181.97
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.69 / $0.69 / $162.18	Professional	26	$0.69	$0.69	$162.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $131.83 / $213.80	Professional	26	$91.20	$131.83	$213.80