Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $33.11	Facility	26	$26.92	$26.92	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $199.53	Professional		$93.33	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $213.80	Professional		$97.72	$131.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $234.42	Professional		$91.20	$134.90	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $158.49 / $213.80	Professional		$0.71	$158.49	$213.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.28 / $32.36 / $42.66	Professional	26	$0.28	$32.36	$42.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $199.53	Professional		$0.71	$0.71	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $199.53	Professional		$75.86	$128.82	$199.53