Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Professional		$141.25	$169.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $295.12	Professional	26	$61.66	$75.86	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $158.49	Professional		$138.04	$144.54	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $288.40	Professional		$138.04	$173.78	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $125.89	Professional	26	$58.88	$77.62	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $281.84	Professional		$138.04	$186.21	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $120.23	Professional	26	$60.26	$81.28	$120.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $165.96 / $245.47	Professional		$2.00	$165.96	$245.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $66.07 / $104.71	Professional	26	$0.55	$66.07	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $245.47	Professional		$2.00	$2.00	$245.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $0.55 / $102.33	Professional	26	$0.55	$0.55	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $281.84	Professional		$151.36	$165.96	$281.84
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $67.61 / $123.03	Professional	26	$64.57	$67.61	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $281.84	Professional		$131.83	$177.83	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $125.89	Professional	26	$60.26	$75.86	$125.89