Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $79.43	Facility	26	$66.07	$66.07	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $371.54	Professional		$107.15	$138.04	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Professional		$109.65	$109.65	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $117.49 / $190.55	Professional		$1.91	$117.49	$190.55
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.35 / $53.70 / $91.20	Professional	26	$1.35	$53.70	$91.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $169.82	Professional		$1.91	$1.91	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Professional		$107.15	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $213.80	Professional		$114.82	$123.03	$213.80