Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $66.07	Facility	26	$53.70	$53.70	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $245.47	Professional		$104.71	$128.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $229.09	Professional		$114.82	$123.03	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $616.60	Professional		$120.23	$199.53	$616.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $147.91 / $204.17	Professional		$1.29	$147.91	$204.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.34 / $61.66 / $83.18	Professional	26	$0.34	$61.66	$83.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $181.97	Professional		$1.29	$1.29	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $120.23	Professional		$114.82	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $524.81	Professional		$120.23	$173.78	$524.81