Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $52.48	Facility	26	$42.66	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $199.53	Professional		$64.57	$81.28	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $107.15	Professional	26	$38.02	$44.67	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $141.25	Professional		$63.10	$95.50	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $77.62	Professional	26	$39.81	$50.12	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $138.04	Professional		$57.54	$83.18	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $77.62	Professional	26	$38.02	$48.98	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $69.18 / $120.23	Professional		$1.20	$69.18	$120.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.20 / $43.65 / $69.18	Professional	26	$1.20	$43.65	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $112.20	Professional		$1.20	$1.20	$112.20
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.20 / $1.20 / $60.26	Professional	26	$1.20	$1.20	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $104.71	Professional		$72.44	$75.86	$104.71
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $40.74 / $57.54	Professional	26	$38.90	$40.74	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $138.04	Professional		$63.10	$87.10	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $89.13	Professional	26	$39.81	$54.95	$89.13