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 $57.71 / $82.89 / $328.00	Professional		$57.71	$82.89	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $19.91 / $75.84	Professional	26	$17.51	$19.91	$75.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $55.03 / $131.30	Professional		$41.13	$55.03	$131.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $21.20 / $31.60	Professional	26	$16.27	$21.20	$31.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $81.88 / $132.63	Professional		$33.65	$81.88	$132.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $23.97 / $33.85	Professional	26	$17.05	$23.97	$33.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $80.51 / $135.93	Professional		$0.76	$80.51	$135.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $20.84 / $34.01	Professional	26	$0.30	$20.84	$34.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $80.51 / $120.77	Professional		$0.76	$80.51	$120.77
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $19.66 / $29.49	Professional	26	$0.30	$19.66	$29.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $73.68 / $121.20	Professional		$39.42	$73.68	$121.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $23.29 / $35.28	Professional	26	$17.18	$23.29	$35.28