Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $704.59 / $1,162.13	Professional		$224.97	$704.59	$1,162.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.13 / $7,759.00 / $14,510.00	Facility		$511.13	$7,759.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $508.93 / $914.70	Professional		$458.50	$508.93	$914.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $493.00	Professional		$200.00	$200.00	$493.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.47 / $804.85 / $1,158.29	Professional		$569.47	$804.85	$1,158.29