Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.68 / $38.68 / $41.77	Facility	26	$38.68	$38.68	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $86.41 / $135.38	Professional		$74.31	$86.41	$135.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $38.04 / $57.00	Professional	26	$33.77	$38.04	$57.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $82.34 / $127.98	Professional		$73.06	$82.34	$127.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $37.17 / $54.78	Professional	26	$31.53	$37.17	$54.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $105.74 / $153.97	Professional		$67.30	$105.74	$153.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.34 / $47.41 / $69.62	Professional	26	$30.34	$47.41	$69.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $96.89 / $139.16	Professional		$0.65	$96.89	$139.16
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $40.61 / $56.49	Professional	26	$0.35	$40.61	$56.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $88.08 / $132.12	Professional		$0.65	$88.08	$132.12
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $36.92 / $55.38	Professional	26	$0.35	$36.92	$55.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $99.83 / $158.41	Professional		$75.94	$99.83	$158.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $46.45 / $71.58	Professional	26	$34.28	$46.45	$71.58