Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $34.67	Facility	26	$28.84	$28.84	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $141.25	Professional		$77.62	$95.50	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $181.97	Professional		$89.13	$114.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $177.83	Professional		$77.62	$120.23	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $107.15 / $154.88	Professional		$0.62	$107.15	$154.88
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.23 / $32.36 / $46.77	Professional	26	$0.23	$32.36	$46.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $138.04	Professional		$0.62	$0.62	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $128.82	Professional		$89.13	$93.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $158.49	Professional		$77.62	$97.72	$158.49