Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $53.70	Facility	26	$43.65	$43.65	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $169.82	Professional		$93.33	$117.49	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $181.97	Professional		$95.50	$109.65	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $295.12	Professional		$100.00	$158.49	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $134.90 / $186.21	Professional		$0.98	$134.90	$186.21
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.41 / $51.29 / $69.18	Professional	26	$0.41	$51.29	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $165.96	Professional		$0.98	$0.98	$165.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Professional		$107.15	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $245.47	Professional		$97.72	$138.04	$245.47