Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.85 / $56.06 / $67.27	Facility	26	$52.85	$56.06	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $220.01 / $1,331.65	Professional		$205.90	$220.01	$1,331.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $286.79 / $348.05	Professional		$207.01	$286.79	$348.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.07 / $351.21 / $408.26	Professional		$211.07	$351.21	$408.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $253.32 / $352.54	Professional		$2.02	$253.32	$352.54
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $67.73 / $90.48	Professional	26	$0.45	$67.73	$90.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $202.41 / $316.64	Professional		$2.02	$202.41	$316.64
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $296.55 / $439.96	Professional		$198.48	$296.55	$439.96