Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.37 / $18.43 / $22.12	Facility	26	$17.37	$18.43	$22.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $108.59 / $449.00	Professional		$77.98	$108.59	$449.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $83.43 / $114.66	Professional		$66.70	$83.43	$114.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $99.75 / $175.02	Professional		$67.27	$99.75	$175.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $104.05 / $150.44	Professional		$0.54	$104.05	$150.44
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $22.00 / $28.16	Professional	26	$0.18	$22.00	$28.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $87.51 / $135.13	Professional		$0.54	$87.51	$135.13
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $91.67 / $153.53	Professional		$59.18	$91.67	$153.53