Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.75 / $60.94 / $73.13	Facility	26	$59.75	$60.94	$73.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $152.53 / $755.00	Professional		$119.87	$152.53	$755.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $139.06 / $176.60	Professional		$117.43	$139.06	$176.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $159.36 / $277.12	Professional		$111.96	$159.36	$277.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $190.00 / $297.73	Professional		$1.01	$190.00	$297.73
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.47 / $69.52 / $106.70	Professional	26	$0.47	$69.52	$106.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $170.13 / $255.20	Professional		$1.01	$170.13	$255.20
United Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $145.80 / $252.60	Professional		$113.51	$145.80	$252.60