Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $3,042.00 / $10,300.00	Facility		$903.00	$3,042.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,712.50 / $4,563.00 / $4,563.00	Facility	50	$3,712.50	$4,563.00	$4,563.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $771.54 / $2,092.55	Professional		$6.17	$771.54	$2,092.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $19,673.00	Facility		$1,642.00	$3,060.00	$19,673.00