Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.40 / $200.00 / $244.00	Facility	26	$108.40	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $329.94 / $672.00	Professional	26	$90.00	$329.94	$672.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $168.02 / $168.02 / $236.20	Professional	26	$168.02	$168.02	$236.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.04 / $107.94 / $159.25	Professional	26	$106.04	$107.94	$159.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $169.97 / $216.80	Professional	26	$98.89	$169.97	$216.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.30 / $136.13 / $181.88	Professional	26	$69.30	$136.13	$181.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.69 / $108.91 / $163.37	Professional	26	$0.69	$108.91	$163.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.63 / $148.04 / $223.34	Professional	26	$85.63	$148.04	$223.34