Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.33 / $69.34 / $83.22	Facility	26	$65.33	$69.34	$83.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $153.62 / $724.84	Professional		$135.60	$153.62	$724.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $139.75 / $190.11	Professional		$118.50	$139.75	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $163.00 / $251.63	Professional		$108.93	$163.00	$251.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $172.77 / $223.80	Professional		$1.08	$172.77	$223.80
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.31 / $73.44 / $106.82	Professional	26	$0.31	$73.44	$106.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $128.03 / $199.35	Professional		$1.08	$128.03	$199.35
United Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $131.78 / $233.83	Professional		$101.18	$131.78	$233.83