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 $169.82 / $199.53 / $302.00	Professional		$169.82	$199.53	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $436.52	Professional		$169.82	$229.09	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $354.81	Professional		$138.04	$234.42	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $229.09 / $309.03	Professional		$1.05	$229.09	$309.03
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $57.54 / $81.28	Professional	26	$0.30	$57.54	$81.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $295.12	Professional		$1.05	$1.05	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $338.84	Professional		$173.78	$199.53	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13