Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.88 / $4,396.00 / $10,300.00	Facility		$382.88	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.22 / $382.88 / $1,976.56	Professional		$299.22	$382.88	$1,976.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,693.93 / $3,693.93 / $3,693.93	Facility		$3,693.93	$3,693.93	$3,693.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $349.69	Professional		$325.56	$325.56	$349.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $443.51 / $4,244.76	Professional		$8.15	$443.51	$4,244.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $354.81 / $5,788.31	Professional		$8.15	$354.81	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.71 / $475.68 / $704.30	Professional		$353.71	$475.68	$704.30