Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $549.54	Professional		$338.84	$407.38	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $741.31	Professional		$281.84	$407.38	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $741.31	Professional		$257.04	$457.09	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $436.52 / $602.56	Professional		$3.89	$436.52	$602.56
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.51 / $117.49 / $165.96	Professional	26	$1.51	$117.49	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $562.34	Professional		$3.89	$3.89	$562.34
Select Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $724.44	Professional		$371.54	$380.19	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $630.96	Professional		$245.47	$389.05	$630.96