Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $46.77 / $48.98	Facility		$6.46	$46.77	$48.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $48.98 / $64.57	Professional		$15.14	$48.98	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $44.67 / $60.26	Professional	26	$15.49	$44.67	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.89 / $3.89	Facility		$3.16	$3.89	$3.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $28.84	Professional		$25.12	$28.84	$28.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $26.92	Professional	26	$7.41	$7.41	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.80 / $34.67	Facility		$3.39	$3.80	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $32.36 / $60.26	Facility	26	$30.20	$32.36	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $69.18	Professional		$43.65	$43.65	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $64.57	Professional	26	$30.90	$40.74	$64.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $56.23 / $77.62	Professional		$0.10	$56.23	$77.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $52.48 / $72.44	Professional	26	$0.10	$52.48	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $70.79	Professional		$0.10	$0.10	$70.79
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $0.10 / $66.07	Professional	26	$0.10	$0.10	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $70.79	Professional		$17.78	$26.30	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.30 / $69.18	Professional	26	$17.78	$26.30	$69.18