Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.26 / $45.26 / $48.88	Facility	26	$45.26	$45.26	$48.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $66.12 / $85.83	Professional		$58.85	$66.12	$85.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $46.31 / $62.54	Professional	26	$40.90	$46.31	$62.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $61.58 / $93.62	Professional		$57.00	$61.58	$93.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $43.57 / $64.73	Professional	26	$38.45	$43.57	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $81.81 / $117.82	Professional		$55.07	$81.81	$117.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.93 / $56.58 / $81.47	Professional	26	$38.93	$56.58	$81.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $77.98 / $104.17	Professional		$59.10	$77.98	$104.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.72 / $51.66 / $68.02	Professional	26	$41.72	$51.66	$68.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $62.65 / $93.57	Professional		$62.38	$62.65	$93.57
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $64.58 / $64.58	Professional	26	$43.05	$64.58	$64.58
United Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $79.20 / $114.62	Professional		$59.65	$79.20	$114.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.86 / $56.32 / $84.82	Professional	26	$40.86	$56.32	$84.82