Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $194.98	Professional		$89.13	$147.91	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $81.28	Professional	26	$38.90	$61.66	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $74.13	Professional		$63.10	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $29.51 / $41.69	Professional	26	$25.70	$29.51	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $38.90 / $72.44	Facility	26	$36.31	$38.90	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $208.93	Professional		$61.66	$97.72	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $45.71 / $85.11	Professional	26	$25.12	$45.71	$85.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $151.36 / $190.55	Professional		$37.15	$151.36	$190.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $63.10 / $79.43	Professional	26	$16.60	$63.10	$79.43
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $204.17	Professional		$109.65	$117.49	$204.17
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $91.20	Professional	26	$47.86	$47.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $218.78	Professional		$74.13	$109.65	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $93.33	Professional	26	$34.67	$44.67	$93.33