Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $275.42	Professional		$63.10	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $81.28	Professional	26	$18.20	$21.88	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Professional	26	$16.22	$16.22	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $144.54	Professional		$40.74	$91.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $22.91 / $36.31	Professional	26	$16.60	$22.91	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $138.04	Professional		$33.88	$81.28	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $34.67	Professional	26	$17.78	$23.99	$34.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $58.88 / $125.89	Professional		$0.76	$58.88	$125.89
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $17.78 / $31.62	Professional	26	$0.30	$17.78	$31.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $120.23	Professional		$0.76	$0.76	$120.23
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $0.30 / $29.51	Professional	26	$0.30	$0.30	$29.51
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $138.04	Professional		$75.86	$81.28	$138.04
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $35.48	Professional	26	$19.50	$19.50	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $117.49	Professional		$38.90	$70.79	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.91 / $33.88	Professional	26	$17.38	$22.91	$33.88