Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $4,466.84	Professional		$1,023.29	$1,202.26	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,995.26	Professional		$1,096.48	$1,412.54	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,698.24	Professional		$891.25	$1,122.02	$1,698.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $1,202.26 / $1,698.24	Professional		$10.23	$1,202.26	$1,698.24
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $331.13 / $467.74	Professional	26	$3.02	$331.13	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $1,445.44	Professional		$10.23	$10.23	$1,445.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,819.70	Professional		$933.25	$1,318.26	$1,819.70