Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,806.00 / $17,045.00 / $17,152.00	Facility		$13,806.00	$17,045.00	$17,152.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $197.22 / $287.61	Professional		$4.00	$197.22	$287.61
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,048.00 / $1,975.00	Facility		$200.00	$1,048.00	$1,975.00