Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $154.88	Facility	26	$128.82	$128.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $851.14	Professional		$275.42	$457.09	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $478.63	Professional		$269.15	$309.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $831.76	Professional		$275.42	$478.63	$831.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $346.74 / $467.74	Professional		$5.62	$346.74	$467.74
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.07 / $89.13 / $117.49	Professional	26	$1.07	$89.13	$117.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $398.11	Professional		$5.62	$5.62	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $269.15	Professional		$263.03	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $724.44	Professional		$269.15	$407.38	$724.44