Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $47.12 / $49.91	Facility		$6.16	$47.12	$49.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.94 / $45.74 / $46.67	Facility	26	$43.94	$45.74	$46.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $48.91 / $77.23	Professional		$15.66	$48.91	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $45.74 / $71.68	Professional	26	$15.66	$45.74	$71.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.14 / $3.93	Facility		$3.14	$3.14	$3.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $29.11 / $79.03	Professional		$24.93	$29.11	$79.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $27.14	Professional	26	$7.49	$7.49	$27.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $3.78 / $34.61	Facility		$2.13	$3.78	$34.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.50 / $32.43 / $60.05	Facility	26	$30.50	$32.43	$60.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $69.06	Professional		$43.45	$43.45	$69.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $40.47 / $64.77	Professional	26	$30.60	$40.47	$64.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $52.84 / $74.67	Professional		$0.10	$52.84	$74.67
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $45.90 / $69.94	Professional	26	$0.10	$45.90	$69.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $46.67 / $70.01	Professional		$0.10	$46.67	$70.01
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.10 / $43.71 / $65.56	Professional	26	$0.10	$43.71	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $26.07 / $52.34	Professional		$18.55	$26.07	$52.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $26.06 / $74.92	Professional	26	$18.55	$26.06	$74.92