Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $74.13	Facility	26	$61.66	$61.66	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $302.00	Professional		$151.36	$181.97	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $407.38 / $407.38	Professional		$162.18	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $660.69	Professional		$288.40	$416.87	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $173.78 / $275.42	Professional		$5.13	$173.78	$275.42
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.29 / $61.66 / $95.50	Professional	26	$1.29	$61.66	$95.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $251.19	Professional		$5.13	$5.13	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $512.86	Professional		$162.18	$165.96	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $676.08	Professional		$275.42	$371.54	$676.08