Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $120.23	Facility	26	$100.00	$100.00	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $616.60	Professional		$309.03	$398.11	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $602.56	Professional		$338.84	$389.05	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $660.69	Professional		$295.12	$436.52	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $398.11 / $537.03	Professional		$2.69	$398.11	$537.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.89 / $114.82 / $154.88	Professional	26	$0.89	$114.82	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $501.19	Professional		$2.69	$2.69	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $933.25	Professional		$331.13	$489.78	$933.25