Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.91 / $19.91 / $21.50	Facility	26	$19.91	$19.91	$21.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $78.73 / $416.53	Professional		$62.01	$78.73	$416.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $19.91 / $106.52	Professional	26	$17.51	$19.91	$106.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $58.03 / $124.71	Professional		$47.82	$58.03	$124.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $20.84 / $31.60	Professional	26	$18.64	$20.84	$31.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $76.97 / $126.29	Professional		$33.21	$76.97	$126.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $23.65 / $33.85	Professional	26	$16.75	$23.65	$33.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $78.06 / $131.49	Professional		$0.78	$78.06	$131.49
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $21.60 / $34.58	Professional	26	$0.30	$21.60	$34.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $76.16 / $114.24	Professional		$0.78	$76.16	$114.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $19.98 / $29.99	Professional	26	$0.30	$19.98	$29.99
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $71.30 / $117.17	Professional		$34.57	$71.30	$117.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $23.00 / $35.90	Professional	26	$17.57	$23.00	$35.90