Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $251.19	Professional		$83.18	$100.00	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $165.96	Professional		$79.43	$109.65	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $169.82	Professional		$89.13	$117.49	$169.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $102.33 / $147.91	Professional		$0.71	$102.33	$147.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.40 / $58.88 / $83.18	Professional	26	$0.40	$58.88	$83.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $141.25	Professional		$0.71	$0.71	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $165.96	Professional		$85.11	$93.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $158.49	Professional		$83.18	$117.49	$158.49