Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.54 / $56.73 / $68.08	Facility	26	$53.54	$56.73	$68.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $131.58 / $648.00	Professional		$113.87	$131.58	$648.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $135.04 / $181.14	Professional		$90.40	$135.04	$181.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $123.55 / $167.57	Professional		$112.07	$123.55	$167.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $145.01 / $219.55	Professional		$102.29	$145.01	$219.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $138.30 / $201.69	Professional		$0.95	$138.30	$201.69
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $67.36 / $94.76	Professional	26	$0.45	$67.36	$94.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $109.78 / $172.88	Professional		$0.95	$109.78	$172.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $123.43 / $203.66	Professional		$97.77	$123.43	$203.66