Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $4,980.00 / $5,100.00	Facility		$4,980.00	$4,980.00	$5,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,860.00 / $4,980.00 / $4,980.00	Professional		$4,860.00	$4,980.00	$4,980.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $5,250.00 / $15,950.00	Facility		$2,062.94	$5,250.00	$15,950.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $5,100.00 / $5,100.00	Facility		$2,062.94	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $6,000.00 / $6,000.00	Professional		$350.00	$6,000.00	$6,000.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,279.92 / $2,279.92 / $2,279.92	Facility		$2,279.92	$2,279.92	$2,279.92
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Professional		$5,000.00	$5,000.00	$5,000.00