Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.38 / $20.38 / $22.01	Facility	26	$20.38	$20.38	$22.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $95.56 / $143.34	Professional		$59.75	$95.56	$143.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $89.81 / $147.90	Professional		$43.39	$89.81	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $103.21 / $175.46	Professional		$33.47	$103.21	$175.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $109.38 / $150.27	Professional		$0.84	$109.38	$150.27
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.35 / $22.54 / $30.97	Professional	26	$0.35	$22.54	$30.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $87.83 / $142.66	Professional		$0.84	$87.83	$142.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $94.85 / $170.73	Professional		$39.58	$94.85	$170.73