Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $87.10	Facility	26	$72.44	$72.44	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $1,000.00	Professional		$177.83	$251.19	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $389.05	Professional		$223.87	$223.87	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $478.63	Professional		$186.21	$245.47	$478.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $302.00 / $416.87	Professional		$1.00	$302.00	$416.87
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $89.13 / $123.03	Professional	26	$0.45	$89.13	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $371.54	Professional		$1.00	$1.00	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $251.19	Professional		$239.88	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $407.38	Professional		$154.88	$245.47	$407.38