Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $25.70	Facility	26	$20.89	$20.89	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $89.13	Professional		$33.11	$52.48	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $37.15	Professional	26	$19.05	$21.88	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $91.20	Professional		$33.88	$50.12	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $38.02	Professional	26	$18.20	$23.99	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $91.20	Professional		$31.62	$50.12	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $38.90	Professional	26	$19.05	$25.12	$38.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $33.11 / $81.28	Professional		$0.30	$33.11	$81.28
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $19.95 / $33.11	Professional	26	$0.20	$19.95	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $77.62	Professional		$0.30	$0.30	$77.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.20 / $0.20 / $30.20	Professional	26	$0.20	$0.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $69.18	Professional		$47.86	$51.29	$69.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $20.42 / $28.84	Professional	26	$19.50	$20.42	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $87.10	Professional		$33.88	$51.29	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $28.18 / $42.66	Professional	26	$19.50	$28.18	$42.66