Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.24 / $58.24 / $62.90	Facility	26	$58.24	$58.24	$62.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $351.81 / $593.73	Professional		$316.02	$351.81	$593.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $57.71 / $149.55	Professional	26	$50.96	$57.71	$149.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.65 / $336.65 / $336.65	Professional		$336.65	$336.65	$336.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $53.49 / $53.49	Professional	26	$53.49	$53.49	$53.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $323.31 / $511.94	Professional		$252.96	$323.31	$511.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $57.48 / $82.66	Professional	26	$49.98	$57.48	$82.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $386.17 / $642.66	Professional		$186.25	$386.17	$642.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.71 / $70.93 / $104.83	Professional	26	$48.71	$70.93	$104.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $459.94 / $605.58	Professional		$3.71	$459.94	$605.58
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $66.92 / $89.03	Professional	26	$0.56	$66.92	$89.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $336.65 / $574.91	Professional		$3.71	$336.65	$574.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.56 / $58.19 / $87.29	Professional	26	$0.56	$58.19	$87.29
United Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $339.67 / $585.27	Professional		$225.27	$339.67	$585.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.09 / $65.84 / $103.33	Professional	26	$48.09	$65.84	$103.33