Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $120.23	Facility	26	$100.00	$100.00	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $398.11	Professional		$165.96	$229.09	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $354.81	Professional		$186.21	$245.47	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $446.68	Professional		$173.78	$251.19	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $234.42 / $416.87	Professional		$0.98	$234.42	$416.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.62 / $97.72 / $154.88	Professional	26	$0.62	$97.72	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $416.87	Professional		$0.98	$0.98	$416.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $416.87	Professional		$251.19	$281.84	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $323.59	Professional		$151.36	$239.88	$323.59