Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $83.18	Facility	26	$69.18	$69.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $234.42	Professional		$109.65	$138.04	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $102.33	Professional		$87.10	$100.00	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $218.78	Professional		$125.89	$125.89	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $257.04	Professional		$112.20	$154.88	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $158.49 / $223.87	Professional		$1.07	$158.49	$223.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.31 / $79.43 / $107.15	Professional	26	$0.31	$79.43	$107.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $199.53	Professional		$1.07	$1.07	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $131.83	Professional		$128.82	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $223.87	Professional		$102.33	$131.83	$223.87