Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $102.33	Professional		$60.26	$75.86	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $30.90	Professional	26	$19.95	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $134.90	Professional		$54.95	$77.62	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $43.65	Professional	26	$19.05	$25.70	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $125.89	Professional		$64.57	$85.11	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $38.90	Professional	26	$20.89	$26.92	$38.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $107.15	Professional		$63.10	$79.43	$107.15
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $33.88	Professional	26	$20.42	$25.70	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $117.49	Professional		$61.66	$66.07	$117.49
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $21.38 / $38.90	Professional	26	$20.42	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $42.66	Professional	26	$19.95	$26.92	$42.66