Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $93.33	Professional		$43.65	$52.48	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $102.33	Professional		$44.67	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $141.25	Professional		$46.77	$69.18	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $52.48 / $77.62	Professional		$2.75	$52.48	$77.62
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.38 / $9.55 / $14.79	Professional	26	$1.38	$9.55	$14.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $75.86	Professional		$2.75	$2.75	$75.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $85.11	Professional		$46.77	$50.12	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $109.65	Professional		$46.77	$69.18	$109.65