Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.15 / $125.58 / $132.18	Facility	26	$110.15	$125.58	$132.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.65 / $58.52 / $59.72	Facility	53	$39.65	$58.52	$59.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $330.43 / $479.67	Professional		$216.86	$330.43	$479.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $116.15 / $577.83	Professional	26	$97.98	$116.15	$577.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.57 / $100.57 / $190.08	Professional	26	$100.57	$100.57	$190.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.71 / $407.28 / $519.22	Professional		$237.71	$407.28	$519.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.54 / $144.58 / $209.72	Professional	26	$104.54	$144.58	$209.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $340.24 / $478.99	Professional		$234.44	$340.24	$478.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.10 / $141.69 / $198.28	Professional	26	$101.10	$141.69	$198.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $286.91 / $418.41	Professional		$3.55	$286.91	$418.41
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.55 / $120.58 / $177.02	Professional	26	$1.55	$120.58	$177.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $224.95 / $358.64	Professional		$3.55	$224.95	$358.64
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.55 / $104.85 / $157.28	Professional	26	$1.55	$104.85	$157.28
United Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $329.86 / $508.07	Professional		$236.64	$329.86	$508.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.41 / $142.84 / $215.28	Professional	26	$100.41	$142.84	$215.28