Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.78 / $3,459.00 / $10,300.00	Facility		$405.78	$3,459.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,750.50 / $5,188.50 / $9,254.75	Facility	50	$4,750.50	$5,188.50	$9,254.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,798.00 / $11,091.00 / $15,073.00	Facility		$8,798.00	$11,091.00	$15,073.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,594.64 / $5,594.64 / $5,594.64	Facility		$5,594.64	$5,594.64	$5,594.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $1,672.43 / $5,949.51	Professional		$21.17	$1,672.43	$5,949.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,759.60 / $19,228.31 / $19,228.31	Facility		$4,759.60	$19,228.31	$19,228.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $19,673.00	Facility		$2,818.00	$5,468.00	$19,673.00