Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $288.40	Professional		$169.82	$204.17	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $371.54	Professional		$154.88	$204.17	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $363.08	Professional		$120.23	$234.42	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $234.42 / $331.13	Professional		$1.51	$234.42	$331.13
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.10 / $165.96 / $234.42	Professional	26	$1.10	$165.96	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $323.59	Professional		$1.51	$1.51	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $346.74	Professional		$177.83	$213.80	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13