Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $204.17	Professional		$97.72	$147.91	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $40.74	Professional	26	$19.05	$23.99	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $81.28	Professional		$38.90	$69.18	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $41.69	Professional	26	$11.22	$13.18	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $19.05 / $35.48	Facility	26	$17.78	$19.05	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $229.09	Professional		$51.29	$70.79	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $43.65	Professional	26	$12.59	$16.22	$43.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $173.78 / $213.80	Professional		$20.42	$173.78	$213.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $33.11 / $41.69	Professional	26	$6.31	$33.11	$41.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $223.87	Professional		$123.03	$131.83	$223.87
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.12 / $45.71	Professional	26	$24.55	$25.12	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $177.83	Professional		$35.48	$67.61	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.98 / $44.67	Professional	26	$15.49	$16.98	$44.67