Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $87.10	Professional		$57.54	$66.07	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $61.66	Professional	26	$39.81	$45.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $112.20	Professional		$51.29	$72.44	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $50.12 / $79.43	Professional	26	$38.90	$50.12	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $125.89	Professional		$57.54	$79.43	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $85.11	Professional	26	$39.81	$54.95	$85.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $102.33	Professional		$63.10	$81.28	$102.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $70.79	Professional	26	$42.66	$56.23	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $100.00	Professional		$63.10	$63.10	$100.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $70.79	Professional	26	$42.66	$42.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $112.20	Professional		$56.23	$77.62	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $79.43	Professional	26	$40.74	$56.23	$79.43