Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $21.88	Facility	26	$18.20	$18.20	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $380.19	Professional		$72.44	$95.50	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Professional		$66.07	$66.07	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $151.36	Professional		$74.13	$93.33	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $169.82	Professional		$66.07	$93.33	$169.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $107.15 / $144.54	Professional		$0.54	$107.15	$144.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.18 / $20.89 / $28.18	Professional	26	$0.18	$20.89	$28.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $134.90	Professional		$0.54	$0.54	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $89.13	Professional		$87.10	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $144.54	Professional		$57.54	$91.20	$144.54