Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $4,396.00 / $10,300.00	Facility		$287.56	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $798.15	Professional		$287.56	$287.56	$798.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $515.00 / $515.00	Facility		$515.00	$515.00	$515.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $586.36 / $586.36 / $667.56	Professional		$586.36	$586.36	$667.56
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,007.60 / $1,007.60 / $1,007.60	Facility		$1,007.60	$1,007.60	$1,007.60
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00