Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.15 / $200.00 / $244.00	Facility	26	$109.15	$200.00	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $207.00 / $536.36	Professional	26	$93.63	$207.00	$536.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $237.84 / $237.84 / $237.84	Professional	26	$237.84	$237.84	$237.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.99 / $110.48 / $163.00	Professional	26	$106.99	$110.48	$163.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.66 / $171.32 / $218.30	Professional	26	$99.66	$171.32	$218.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.20 / $138.22 / $184.67	Professional	26	$70.20	$138.22	$184.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.70 / $110.58 / $165.87	Professional	26	$0.70	$110.58	$165.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.97 / $134.22 / $225.32	Professional	26	$85.97	$134.22	$225.32