Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $254.19 / $254.19 / $289.77	Facility	26	$254.19	$254.19	$289.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.60 / $981.75 / $4,046.00	Professional		$839.60	$981.75	$4,046.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $223.09 / $261.11 / $1,042.00	Professional	26	$223.09	$261.11	$1,042.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.71 / $1,186.24 / $1,585.66	Professional		$882.71	$1,186.24	$1,585.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $233.38 / $329.52 / $440.47	Professional	26	$233.38	$329.52	$440.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.68 / $953.46 / $1,423.53	Professional		$767.68	$953.46	$1,423.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.41 / $283.85 / $389.28	Professional	26	$216.41	$283.85	$389.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $978.98 / $1,475.59	Professional		$8.75	$978.98	$1,475.59
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.62 / $270.39 / $385.51	Professional	26	$2.62	$270.39	$385.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $831.39 / $1,311.02	Professional		$8.75	$831.39	$1,311.02
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.62 / $228.34 / $342.51	Professional	26	$2.62	$228.34	$342.51
United Facility/Professional Professional Modifier Low / Median / High Price $803.94 / $1,080.81 / $1,721.12	Professional		$803.94	$1,080.81	$1,721.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $249.48 / $338.12 / $459.27	Professional	26	$249.48	$338.12	$459.27