Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $72.44	Facility	26	$60.26	$60.26	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $691.83	Professional		$114.82	$151.36	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $239.88	Professional		$120.23	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $331.13	Professional		$112.20	$173.78	$331.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $186.21 / $275.42	Professional		$1.00	$186.21	$275.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.47 / $69.18 / $102.33	Professional	26	$0.47	$69.18	$102.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $257.04	Professional		$1.00	$1.00	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $251.19	Professional		$158.49	$169.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $239.88	Professional		$91.20	$144.54	$239.88