Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $438.43 / $438.43 / $499.82	Facility	26	$438.43	$438.43	$499.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.97 / $1,590.93 / $2,292.90	Professional		$1,370.97	$1,590.93	$2,292.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,408.62 / $1,937.00 / $2,589.19	Professional		$1,408.62	$1,937.00	$2,589.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.23 / $1,557.96 / $2,227.11	Professional		$1,254.23	$1,557.96	$2,227.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $1,520.69 / $2,232.51	Professional		$14.29	$1,520.69	$2,232.51
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.42 / $456.69 / $664.51	Professional	26	$4.42	$456.69	$664.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $1,261.23 / $1,983.51	Professional		$14.29	$1,261.23	$1,983.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.00 / $1,991.91 / $2,677.41	Professional		$1,476.00	$1,991.91	$2,677.41