Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.23 / $76.94 / $76.94	Facility	26	$71.23	$76.94	$76.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $169.10 / $259.62	Professional		$143.88	$169.10	$259.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.36 / $72.18 / $286.22	Professional	26	$62.36	$72.18	$286.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $58.62 / $58.62	Professional	26	$58.62	$58.62	$58.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $159.94 / $252.26	Professional		$131.28	$159.94	$252.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.42 / $73.23 / $111.98	Professional	26	$57.42	$73.23	$111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $187.29 / $300.19	Professional		$136.61	$187.29	$300.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.51 / $81.37 / $125.31	Professional	26	$60.51	$81.37	$125.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $181.81 / $261.14	Professional		$2.00	$181.81	$261.14
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $72.59 / $104.61	Professional	26	$0.55	$72.59	$104.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $150.18 / $247.92	Professional		$2.00	$150.18	$247.92
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.55 / $67.48 / $101.24	Professional	26	$0.55	$67.48	$101.24
United Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $178.68 / $292.49	Professional		$138.00	$178.68	$292.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $76.01 / $126.02	Professional	26	$60.70	$76.01	$126.02